Accidental vs. Iatrogenic trauma and their surgical outcome of facial nerve surgery | ||
| Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||
| Article 2, Volume 9, Issue 1, April 2023, Pages 11-20 PDF (518.95 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejnso.2023.293308 | ||
| Authors | ||
| Arafat Mahmoud Mohamed1; Khaled abdelrahman Ali Ibrahim2; Ramadan Hashem Sayed3; Mohamed Abd elrhman Eshazly4 | ||
| 1otolaryngology, medicine, sohag university, sohag, egypt | ||
| 2ENt, sohag university, sohag, Egypt | ||
| 3Sohag University | ||
| 4otolaryngology, kasr alaini medicine, cairo university, cairo, egypt | ||
| Abstract | ||
| Introduction: Introduction: -The facial nerve (FN) is at risk for an injury through its course by accidental or surgical trauma. FN trauma management is a challenging as spontaneous recovery is unpredicted. Patient and Methods: A prospective study was conducted on patients (22 cases) with posttraumatic LMN FN paralysis (accidental /iatrogenic etiology) who were candidates for surgical intervention. Results: At final post intervention (1 year) follow-up, 7/22 patients (31.82%) had mild dysfunction (House–Brackmann (HB) grade II), 12/22 cases (54.55%) had a moderate dysfunction (HB grade III), 2/22 cases (9.09%) had moderately severe dysfunction (HB grade IV) and 1/22 case (4.55%) had total dysfunction (HB grade VI). Conclusion: The outcome of the FN function following the surgical repair is significantly better in cases with accidental trauma compared to those with surgical trauma. This means that the insult of the surgeon on FN is much worse than accidents. | ||
| Keywords | ||
| Facial nerve; Surgical; Accidental trauma; Outcome | ||
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