Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review

Bilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident....

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Main Authors: Sultan Şevik Eliçora, Aykut Erdem Dinç, Sultan Bişkin, Murat Damar, Ergin Bilgin
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/306950
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author Sultan Şevik Eliçora
Aykut Erdem Dinç
Sultan Bişkin
Murat Damar
Ergin Bilgin
author_facet Sultan Şevik Eliçora
Aykut Erdem Dinç
Sultan Bişkin
Murat Damar
Ergin Bilgin
author_sort Sultan Şevik Eliçora
collection DOAJ
description Bilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident. On physical examination, House-Brackmann (HB) facial paralysis of grade 6 was observed on the right side and HB grade 5 paralysis on the left. Upon temporal bone computed tomography (CT) examination, a fracture line exhibiting transverse progression was observed in both petrous temporal bones. Our patient underwent transmastoid facial decompression surgery of the right ear. The patient refused a left-side operation. Such patients require extensive monitoring in intensive care units because the presence of multiple injuries means that facial functions are often very difficult to evaluate. Therefore, delays may ensue in both diagnosis and treatment of bilateral facial paralysis.
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institution Kabale University
issn 2090-6765
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language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Otolaryngology
spelling doaj-art-1935ed8fb3204599954acb0d86b917142025-02-03T06:45:19ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/306950306950Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature ReviewSultan Şevik Eliçora0Aykut Erdem Dinç1Sultan Bişkin2Murat Damar3Ergin Bilgin4Otorhinolaryngology Department, Zonguldak Bülent Ecevit University Faculty of Medicine, 67600 Zonguldak, TurkeyOtorhinolaryngology Department, Zonguldak Bülent Ecevit University Faculty of Medicine, 67600 Zonguldak, TurkeyOtorhinolaryngology Department, Zonguldak Bülent Ecevit University Faculty of Medicine, 67600 Zonguldak, TurkeyOtorhinolaryngology Department, Zonguldak Bülent Ecevit University Faculty of Medicine, 67600 Zonguldak, TurkeyOtorhinolaryngology Department, Zonguldak Bülent Ecevit University Faculty of Medicine, 67600 Zonguldak, TurkeyBilateral facial paralysis caused by bilateral temporal bone fracture is a rare clinical entity, with seven cases reported in the literature to date. In this paper, we describe a 40-year-old male patient with bilateral facial paralysis and hearing loss that developed after an occupational accident. On physical examination, House-Brackmann (HB) facial paralysis of grade 6 was observed on the right side and HB grade 5 paralysis on the left. Upon temporal bone computed tomography (CT) examination, a fracture line exhibiting transverse progression was observed in both petrous temporal bones. Our patient underwent transmastoid facial decompression surgery of the right ear. The patient refused a left-side operation. Such patients require extensive monitoring in intensive care units because the presence of multiple injuries means that facial functions are often very difficult to evaluate. Therefore, delays may ensue in both diagnosis and treatment of bilateral facial paralysis.http://dx.doi.org/10.1155/2015/306950
spellingShingle Sultan Şevik Eliçora
Aykut Erdem Dinç
Sultan Bişkin
Murat Damar
Ergin Bilgin
Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review
Case Reports in Otolaryngology
title Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review
title_full Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review
title_fullStr Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review
title_full_unstemmed Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review
title_short Bilateral Facial Paralysis Caused by Bilateral Temporal Bone Fracture: A Case Report and a Literature Review
title_sort bilateral facial paralysis caused by bilateral temporal bone fracture a case report and a literature review
url http://dx.doi.org/10.1155/2015/306950
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