Management of Post Traumatic Facial nerve palsy: A Hospital Based Prospective Study

Abstract

Injury is a common cause of facial nerve loss of mobility following idiopathic. Facial paralysis due to intracranial, intratemporal, and other temporary limit damage or break, or both. For a better outcome, early surgical intervention is required for sudden and prompt facial nerve paralysis. Surgery for facial nerve decompression and termino- terminal anastomosis was performed in the current investigation. A prospective study of the 21 cases of traumatic facial nerve palsy attending Department of Otorhinolaryngology, Katihar Medical College, Bihar were enrolled during February 2014 to January 2015.  The complete clinic examination, otoscopic, audio logical,  topodiagnostic, and radiological evaluation were done  in all the patients. The out come of these patients were done on the House-Brackmann nerve grading system.

All patients have infra nuclear type of facial nerve palsy. The maximum incidence of facial nerve paralysis found in the age group between 21 to 30 years. Out of 21 patients ,16 patients were normal hearing. Suprachordal (52%) involvement is the most common site of lesion in traumatic facial nerve paralysis.

                  Sudden and immediate onset facial nerve paralysis need early surgical intervention for better out come .facial nerve decompression were better out come comparing to termino terminal anastmosis. The facial nerve  paralysis prognosis depends upon degree of paralysis, duration of paralysis, site of injury and  patients factors.