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Related Experiment Video

Updated: May 12, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

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Published on: March 1, 2015

Bilateral traumatic facial paralysis. Case report.

Jose Undabeitia1, Brian Liu, Courtney Pendleton

  • 1Servicio de Neurocirugía, Hospital Universitario Arnau de Vilanova, Lleida, Spain.

Neurocirugia (Asturias, Spain)
|April 2, 2013
PubMed
Summary

Bilateral facial paralysis after severe head trauma is rare. High-resolution CT scans and electromyography aid diagnosis in critically ill patients with temporal bone fractures.

Keywords:
Bilateral facial paralysisFacial nerve injuriesFractura de base de cráneoLesión del nervio facialParálisis facial bilateralSkull base fracture

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Facial Nerve Surgery in the Rat Model to Study Axonal Inhibition and Regeneration
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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

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Published on: March 1, 2015

Facial Nerve Surgery in the Rat Model to Study Axonal Inhibition and Regeneration
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Published on: May 5, 2020

Area of Science:

  • Neurosurgery
  • Traumatology
  • Neurology

Background:

  • Traumatic facial nerve injury is common in neurosurgery.
  • Bilateral facial nerve lesions from temporal bone fractures are rare.

Observation:

  • A 38-year-old male with severe head trauma (Glasgow Coma Scale 7) presented with bilateral temporal bone fractures.
  • Following recovery from ventilatory support, the patient developed bilateral facial paralysis (facial diplegia).

Findings:

  • High-resolution computed tomography (CT) confirmed longitudinal right and transverse left temporal bone fractures.
  • Facial diplegia can be subtle in critically ill patients, potentially missed due to lack of asymmetry.
  • Electromyography (EMG) can assist in diagnosing facial nerve dysfunction.

Implications:

  • This case highlights a rare presentation of bilateral facial nerve injury secondary to temporal bone fractures.
  • Early diagnostic imaging and electrophysiological studies are crucial for identifying facial diplegia in trauma patients.
  • Understanding distinct etiologies of facial diplegia is important for accurate neurosurgical and neurological assessment.