Traumatic Bilateral Facial Nerve Palsy: A 10-Year Retrospective Study.

IF 1.4 Q3 OTORHINOLARYNGOLOGY

Journal of Audiology and Otology Pub Date : 2025-07-01 Epub Date: 2025-07-18 DOI:10.7874/jao.2025.00150

Vshakri Ehdam, Mohd Khairi Md Daud

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Abstract

Background and objectives: Simultaneous bilateral facial nerve palsy (FNP) is rare. Traumatic and nontraumatic causes have been demonstrated. This study was performed to determine the prevalence and outcomes of bilateral traumatic FNP.

Subjects and methods: We retrospectively reviewed temporal bone fracture (TBF) cases from 2010 to 2019. Number of patients and each patient's characteristics were obtained using the hospital coding system.

Results: A total of 336 TBF cases were identified, among which 316 (94%) were unilateral and 20 (6%) were bilateral. Among these 20 cases, five (25%) developed bilateral FNP, all resulting from bilateral TBF and accounting for 1.5% of all TBF cases. Four of these five patients experienced delayedonset bilateral FNP, and one patient experienced immediate onset on one side and delayed onset on the other. All five patients developed incomplete FNP, with the most severe case scored House-Brackmann grade IV. Longitudinal TBF was the cause in all but one case, which resulted from mixed fractures on one side. All five patients were treated conservatively with oral steroids and physiotherapy.

Conclusions: Although bilateral traumatic FNP is rare, it should be suspected in all cases of bilateral TBF, and close follow-up is required to achieve rapid diagnosis and enhance management. Because bilateral TBF strongly tends to be longitudinal, incomplete FNP is typical.

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外伤性双侧面神经麻痹：10年回顾性研究。

背景与目的：同时发生的双侧面神经麻痹（FNP）是罕见的。创伤性和非创伤性原因已经得到证实。本研究旨在确定双侧创伤性FNP的患病率和预后。研究对象和方法：回顾性分析2010年至2019年颞骨骨折（TBF）病例。使用医院编码系统获取患者数量和每位患者的特征。结果：共发现336例TBF，其中单侧316例（94%），双侧20例（6%）。在这20例病例中，5例（25%）发展为双侧FNP，均由双侧TBF引起，占所有TBF病例的1.5%。5例患者中有4例出现延迟性双侧FNP， 1例一侧即刻发病，另一侧延迟发病。5例患者均出现不完全性FNP，最严重的患者House-Brackmann评分为IV级。除1例外，其余均为纵向TBF，为单侧混合性骨折所致。所有5例患者均采用口服类固醇和物理疗法进行保守治疗。结论：虽然双侧外伤性FNP罕见，但所有双侧TBF病例均应怀疑，并需密切随访，以实现快速诊断和加强治疗。由于双侧TBF强烈倾向于纵向，不完全FNP是典型的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Audiology and Otology OTORHINOLARYNGOLOGY-

CiteScore

1.90

自引率

9.10%

发文量

期刊介绍： Journal of Audiology and Otology (JAO) (formerly known as Korean Journal of Audiology) aims to publish the most advanced findings for all aspects of the auditory and vestibular system and diseases of the ear using state-of-the-art techniques and analyses. The journal covers recent trends related to the topics of audiology, otology, and neurotology conducted by professionals, with the goal of providing better possible treatment to people of all ages, from infants to the elderly, who suffer from auditory and/or vestibular disorders and thus, improving their quality of life. This journal encourages the submission of review papers about current professional issues, research papers presenting a scientific base and clinical application, and case papers with unique reports or clinical trials. We also invite letters to the editor and papers related to the manufacture and distribution of medical devices. This journal provides integrated views from otologists, audiologists, and other healthcare practitioners, offering readers high quality scientific and clinical information. This peer-reviewed and open access journal has been the official journal of the Korean Audiological Society since 1997 and of both the Korean Audiological Society and the Korean Otological Society since 2017. It is published in English four times a year in January, April, July, and October.