Post traumatic facial nerve palsy without temporal bone fracture

Scuotto, A.; Cappabianca, Salvatore; Capasso, Raffaella; Porto, A.; D’Oria, Salvatore; Rotondo, Michele

doi:10.1016/j.radi.2015.10.003

Cited by 10 publications

(8 citation statements)

References 5 publications

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“…The traction exerted by the tumour on the underlying dura mater could cause focal remodelling of the bone, resulting in upward displacement of the sinus wall. 3,15 We think that this latter mechanism could likely explain the radiological findings in our patients.…”

Section: Discussionmentioning

confidence: 66%

Sphenoidal pneumosinus dilatans due to anterior skull base meningiomas – CT and MRI aspects: Report of two new cases and literature review

et al. 2016

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Section: Discussionmentioning

confidence: 66%

Sphenoidal pneumosinus dilatans due to anterior skull base meningiomas – CT and MRI aspects: Report of two new cases and literature review

et al. 2016

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“…Such an eventuality was reported in earlier studies too. 31 37 The cases of facial paralysis without temporal bone fractures were attributed to micro-trauma of the temporal bone with microtears and nerve edema, which are often missed on a plain HRCT scan.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Clinical Outcome in Traumatic Facial Nerve Paralysis

Shankar

George

Somaraj

2021

Int Arch Otorhinolaryngol

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Introduction The facial nerve is the most commonly paralyzed nerve in the human body, resulting in far-reaching functional, aesthetic and emotional concerns to the patient. Objective Evaluation of the clinical outcome of 47 patients with traumatic facial nerve paralyses, with respect to clinical recovery and audiological sequelae. Methods A descriptive longitudinal study was conducted over 24 months between January 2017 and December 2018 at a tertiary center with detailed clinical, topodiagnostic, audiometric and radiological evaluation and regular follow-up after discharge. Results Road traffic accidents constituted 82.98% of the trauma cases, out of which 76.60% were found to be under the influence of alcohol.Delayed facial paralysis was observed in 76.60% cases. Temporal bone fracture was reported in 89.36%, with otic capsule (OC) sparing fractures forming 91.49% of the cases. Topologically, the injury was mostly at the suprachordal region around the second genu. The majority of the patients (65%) attained full recovery of facial nerve function with conservative medical management. Audiometrically, 77.27% of the patients had hearing loss at the time of presentation, of which 64.71% were conductive in nature; 51.22% attained normal hearing at follow-up visits. Conclusion Early initiation of steroid therapy, concurrent eye care and physiotherapy are the cornerstones in the management of traumatic facial nerve paralysis.

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“…It is characterized by pathological CE of the roots, secondary to temporary damage of themselves barrier caused by surgery or chronic trauma of slipped disc before surgery [48][49][50]. If there is a radicular infection, pathological contrast enhancement (CE) of the roots is easily demonstrated by post-contrast fat sat T1 sequences [33].…”

Section: Radiculitismentioning

confidence: 99%

Imaging of post-operative spine in intervertebral disc pathology

et al. 2017

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This work is an imaging review of spine after surgery with special regard to imaging modality in intervertebral disc pathology. Advances in imaging technology can be evaluated. Depending on the clinical question is asked to the radiologist, it is possible to evaluate post-operative patients with conventional radiology (X-ray), computed tomography and magnetic resonance. Main indications for each technique are analysed. Imaging is important in the diagnosis of many forms of spine pathology and plays a fundamental role in evaluating post-surgical effects of treatments, according to the imaging method which is used, both on spine and on its surrounding tissues (intervertebral discs, spinal cord, muscles and vessels).

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Post traumatic facial nerve palsy without temporal bone fracture

Cited by 10 publications

References 5 publications

Sphenoidal pneumosinus dilatans due to anterior skull base meningiomas – CT and MRI aspects: Report of two new cases and literature review

Sphenoidal pneumosinus dilatans due to anterior skull base meningiomas – CT and MRI aspects: Report of two new cases and literature review

Evaluation of Clinical Outcome in Traumatic Facial Nerve Paralysis

Imaging of post-operative spine in intervertebral disc pathology

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