scholarly journals Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Sultan Şevik Eliçora ◽  
Aykut Erdem Dinç ◽  
Sultan Bişkin ◽  
Murat Damar ◽  
Ergin Bilgin
Keyword(s):  
Temporal Bone ◽  
Facial Paralysis ◽  
Bone Fracture ◽  
Decompression Surgery ◽  
Occupational Accident ◽  
Rare Clinical Entity ◽  
Temporal Bone Fracture ◽  
Grade 5 ◽  
The Right ◽  
Temporal Bones

Bilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident. On physical examination, House-Brackmann (HB) facial paralysis of grade 6 was observed on the right side and HB grade 5 paralysis on the left. Upon temporal bone computed tomography (CT) examination, a fracture line exhibiting transverse progression was observed in both petrous temporal bones. Our patient underwent transmastoid facial decompression surgery of the right ear. The patient refused a left-side operation. Such patients require extensive monitoring in intensive care units because the presence of multiple injuries means that facial functions are often very difficult to evaluate. Therefore, delays may ensue in both diagnosis and treatment of bilateral facial paralysis.

scholarly journals Bilateral temporal bone fractures: a case report

2017 ◽  
Vol 4 (1) ◽  
pp. 271
Author(s):  
Kiran Natarajan ◽  
Koka Madhav ◽  
A. V. Saraswathi ◽  
Mohan Kameswaran
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Facial Paralysis ◽  
Bone Fractures ◽  
Clinical Manifestations ◽  
Csf Leak ◽  
The Right ◽  
Temporal Bones

<p>Bilateral temporal bone fractures are rare; accounting for 9% to 20% of cases of temporal bone fractures. Clinical manifestations include hearing loss, facial paralysis, CSF otorhinorrhea and dizziness. This is a case report of a patient who presented with bilateral temporal bone fractures. This is a report of a 23-yr-old male who sustained bilateral temporal bone fractures and presented 18 days later with complaints of watery discharge from left ear and nose, bilateral profound hearing loss and facial weakness on the right side. Pure tone audiometry revealed bilateral profound sensori-neural hearing loss. CT temporal bones &amp; MRI scans of brain were done to assess the extent of injuries. The patient underwent left CSF otorrhea repair, as the CSF leak was active and not responding to conservative management. One week later, the patient underwent right facial nerve decompression. The patient could not afford a cochlear implant (CI) in the right ear at the same sitting, however, implantation was advised as soon as possible because of the risk of cochlear ossification. The transcochlear approach was used to seal the CSF leak from the oval and round windows on the left side. The facial nerve was decompressed on the right side. The House-Brackmann grade improved from Grade V to grade III at last follow-up. Patients with bilateral temporal bone fractures require prompt assessment and management to decrease the risk of complications such as meningitis, permanent facial paralysis or hearing loss. </p>

Reliability of temporal bone high-resolution CT in patients with facial paralysis in temporal bone fracture

2018 ◽  
Vol 39 (2) ◽  
pp. 150-152 ◽  
Author(s):  
Yuefeng Chen ◽  
Kai Zhang ◽  
Yanfeng Xu ◽  
Yanxu Che ◽  
Linna Guan ◽  
...  
Keyword(s):  
High Resolution ◽  
Temporal Bone ◽  
Facial Paralysis ◽  
Bone Fracture ◽  
Temporal Bone Fracture ◽  
High Resolution Ct

Facial Paralysis After Temporal Bone Fracture

2002 ◽  
Vol 23 (Sup 1) ◽  
pp. S61
Author(s):  
Hiroaki Nakatani ◽  
Masashi Hamada ◽  
Taizo Takeda ◽  
Akinobu Kakigi
Keyword(s):  
Temporal Bone ◽  
Facial Paralysis ◽  
Bone Fracture ◽  
Temporal Bone Fracture

scholarly journals Facial Paralysis in Longitudinal versus Oblique and Otic-Sparing versus Non Otic-Sparing Temporal Bone Fractures

2019 ◽  
Vol 34 (2) ◽  
pp. 32-34
Author(s):  
Ruben Chua ◽  
Rene Lacanilao
Keyword(s):  
Temporal Bone ◽  
Facial Paralysis ◽  
Bone Fracture ◽  
Bone Fractures ◽  
Small Sample Size ◽  
Skull Fracture ◽  
Case Series ◽  
Small Sample ◽  
Temporal Bone Fracture ◽  
Classification Schemes

Objective: To compare the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis. Methods:         Design:           Retrospective Case Series         Settings:         Tertiary Government Hospital Patients:         Records of 49 patients diagnosed with temporal bone fracture in our institution from August 2016 to June 2018. Results: A total of 41 records of patients with temporal bone fractures, 32 males, 9 females, aged 5 to 70 years-old (mean 37.5-years-old) were included.  In terms of laterality 23 (56%) involved the right and 17 (41%) the left side.  Traditionally classified, 32 (78%) were longitudinal and 9 (22%) were transverse. Using newer classification based on otic involvement and non-otic involvement, 38 (93%) were otic-sparing and 3 (7%) were non otic-sparing. Only 9 (22%) out of 41 total fracture patients developed facial paralysis, involving 7 of the 32 longitudinal fractures and 2 of the 9 transverse fractures, or 8 of the 38 otic-sparing and 1 out of 3 non otic-sparing fractures. Conclusion: Because of the small sample size, no conclusions regarding the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis can be drawn in this study. Keywords: head injuries; head trauma; skull fracture; temporal bone fracture; motor vehicles; traffic accidents; facial paralysis     

scholarly journals Combined Subtemporal–Supralabyrinthine Approach to Geniculate Ganglion for Management of Facial Paralysis in Temporal Bone Fracture

2012 ◽  
Vol 7 (1) ◽  
pp. 31-35
Author(s):  
Jiang Li–xin ◽  
Xiao Zhi–wen ◽  
Ma Yu–kun ◽  
Tu Bo ◽  
Long Zhen ◽  
...  
Keyword(s):  
Temporal Bone ◽  
Facial Paralysis ◽  
Bone Fracture ◽  
Geniculate Ganglion ◽  
Temporal Bone Fracture
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