Our Experience in Facial Paralysis

Facial nerve paralysis is one of the most common symptom an otology surgeon comes across. Aim of this article is to review the literature, to study the important causes, pathogenesis and to know the common sites of involvement in different types of facial paralysis with importance of imaging in identifying the site of lesion and role of surgery and outcome of conservative management in case of infranuclear facial paralysis. This is a prospective study of 23 cases of infranuclear facial paralysis in case of post-head injury, post-mastoidectomy and otitis media. Facial paralysis due to post head injury is more common in adult males due to their active life and road traffic accident is the main cause. Longitudinal Fracture of temporal bone is a common fracture and it accounts for more number of facial paralysis. Decompression of the Facial nerve has beneficial effects. HRCT delineates the status of facial nerve in intratemporal part. Cholesteatoma and granulation tissue both play equal causative role for facial paralysis in otitis media.