{"title":"外伤性双侧面神经麻痹：10年回顾性研究。","authors":"Vshakri Ehdam, Mohd Khairi Md Daud","doi":"10.7874/jao.2025.00150","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>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.</p><p><strong>Subjects and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":44886,"journal":{"name":"Journal of Audiology and Otology","volume":"29 3","pages":"214-218"},"PeriodicalIF":1.4000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313438/pdf/","citationCount":"0","resultStr":"{\"title\":\"Traumatic Bilateral Facial Nerve Palsy: A 10-Year Retrospective Study.\",\"authors\":\"Vshakri Ehdam, Mohd Khairi Md Daud\",\"doi\":\"10.7874/jao.2025.00150\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objectives: </strong>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.</p><p><strong>Subjects and methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":44886,\"journal\":{\"name\":\"Journal of Audiology and Otology\",\"volume\":\"29 3\",\"pages\":\"214-218\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313438/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Audiology and Otology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.7874/jao.2025.00150\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/18 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Audiology and Otology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7874/jao.2025.00150","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/18 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Traumatic Bilateral Facial Nerve Palsy: A 10-Year Retrospective Study.
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.
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.
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