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Facial Nerve Axotomy in Mice: A Model to Study Motoneuron Response to Injury

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Post-traumatic Bilateral Facial Nerve Palsy: A Case Report.

Rishab Padda¹, Manish Gupta², Isha Goyal¹

¹Dept. of ENT, Gian Sagar Institute of Medical Science and Research, Patiala, India.

Journal of Maxillofacial and Oral Surgery

|June 2, 2025

Summary

Bilateral facial nerve palsy is a rare condition. This case highlights successful conservative management of post-traumatic bilateral facial nerve palsy with full recovery.

Keywords:

Bilateral facial palsy Delayed facial palsy Facial nerve dysfunction Post-traumatic facial palsy Temporal bone fracture

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Area of Science:

Neurology
Trauma Surgery

Background:

Bilateral facial nerve palsy is rare, accounting for 0.3%-2% of all facial palsy cases.
Systemic conditions often underlie bilateral facial nerve palsy, necessitating prompt medical evaluation.
A comprehensive diagnostic approach including history, examination, and investigations is crucial for identifying the cause.

Observation:

A young male presented with bilateral facial nerve palsy developing days after head trauma.
The patient's condition was managed conservatively, with surgical intervention considered if necessary.
Full recovery was achieved through medicinal therapy.

Findings:

Conservative management can be effective for post-traumatic bilateral facial nerve palsy.
Prompt diagnosis and intervention are vital for optimal patient outcomes.
Maintaining surgical readiness is important in managing such cases.

Implications:

This case underscores the importance of considering trauma as a cause of bilateral facial nerve palsy.
Conservative treatment protocols may yield favorable results in select cases.
Early and multidisciplinary management is key to successful recovery from bilateral facial nerve palsy.