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[Case report: a traumatic facial paralysis caused by a fish]
1Klinik für HNO-Heilkunde, Kopf- und Halschirurgie der Dr. Horst-Schmidt-Kliniken Wiesbaden.
Laryngo- Rhino- Otologie
|January 1, 1997
Summary
A diving accident caused facial paralysis when a fish jaw compressed the facial nerve. Prompt diagnosis and surgical removal led to full nerve function recovery.
Area of Science:
- Neurology
- Traumatology
- Otolaryngology
Background:
- Increased global tourism leads to a rise in unusual injuries.
- Accurate patient history is crucial for diagnosing rare conditions.
Observation:
- A 30 kg fish collided with a diver's head near the Maldives.
- The diver developed facial nerve paralysis 4-5 hours post-injury.
- Surgical intervention revealed a fish jaw fragment compressing the facial nerve in the retromandibular fossa.
Findings:
- Complete resolution of facial nerve paralysis occurred within three months.
- Computed tomography (CT) was instrumental in identifying the foreign body and its impact on the facial nerve.
Implications:
- This case highlights the importance of thorough patient history and advanced imaging in diagnosing unusual facial nerve palsies.
- Prompt surgical decompression of the facial nerve can lead to favorable outcomes even after significant trauma.