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Facial Nerve Surgery in the Rat Model to Study Axonal Inhibition and Regeneration
05:04

Facial Nerve Surgery in the Rat Model to Study Axonal Inhibition and Regeneration

Published on: May 5, 2020

Traumatic facial nerve neuroma with facial palsy presenting in infancy

James H Clark1, Peter C Burger, Derek Kofi Boahene

  • 1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21287, USA. jclark79@jhmi.edu

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|May 19, 2010
PubMed

Insights

Traumatic neuroma of the facial nerve can occur in infants presenting with facial palsy, even without a clear history of trauma. Management requires complex surgical intervention, such as nerve anastomosis, to restore facial nerve function.

Area of Science:

  • Pediatric Otolaryngology
  • Neurosurgery
  • Facial Nerve Surgery

Background:

  • Traumatic neuromas are rare, particularly in infants.
  • Facial palsy in children necessitates thorough investigation to identify underlying causes.

Observation:

  • A 16-month-old male presented with right facial palsy.
  • Radiological imaging revealed a right facial nerve traumatic neuroma.
  • Surgical resection and facial nerve-to-hypoglossal nerve anastomosis were performed.

Findings:

  • The traumatic neuroma was successfully resected via a transmastoid, middle fossa approach.
  • Postoperative improvement in facial nerve function was observed.
  • Facial palsy resolved following surgical intervention.

Implications:

  • Traumatic neuroma should be considered in the differential diagnosis of infant facial palsy.
  • Early diagnosis and surgical management are crucial for optimal outcomes in pediatric facial nerve lesions.
  • This case highlights the complexity of managing facial nerve traumatic neuromas in young children.
Abstract

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