Latrogenic facial nerve palsy

Lessons to learn

Asma Abdullah, Marina Mat Baki, A. Mazita, I. Fadzilah, S. Mazlina, L. Saim

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Introduction: This study aims to review the management and discuss the outcome of patients with iatrogenic facial nerve palsy. Methods: 11 patients with iatrogenic facial nerve palsy (FNP) were evaluated retrospectively in a tertiary centre between June 1995 and September 2008. All the cases were referred from other centres. Results: Ten patients had iatrogenic immediate FNP secondary to mastoidectomy and one had FNP secondary to superficial parotidectomy. Of the ten cases, three had concomitant profound sensorineural hearing loss and one had concomitant labyrinthine fistula. Ten patients underwent facial nerve exploration and one patient was managed conservatively. The second genu was the commonest site of injury (60 percent). Facial nerve recoveries were achieved to Grade I House Brackmann classification in five cases, Grade II in two cases and Grade III in two cases postoperatively. One case defaulted follow-up. One patient, managed conservatively, recovered to FNP Grade II after five months post-injury. Conclusion: Mistakes that most likely occurred during mastoid surgery are drilling towards the antrum, causing injury to the facial nerve at the second genu. Early facial nerve exploration and neurolysis resulted in good facial nerve recovery.

Original languageEnglish
Pages (from-to)1154-1157
Number of pages4
JournalSingapore Medical Journal
Volume50
Issue number12
Publication statusPublished - Dec 2009

Fingerprint

Facial Paralysis
Facial Nerve
Facial Nerve Injuries
Mastoid
Sensorineural Hearing Loss
Wounds and Injuries
Fistula

Keywords

  • Exploration surgery
  • Facial nerve palsy
  • Mastoidectomy
  • Parotidectomy
  • Sensorineural hearing loss

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Abdullah, A., Mat Baki, M., Mazita, A., Fadzilah, I., Mazlina, S., & Saim, L. (2009). Latrogenic facial nerve palsy: Lessons to learn. Singapore Medical Journal, 50(12), 1154-1157.

Latrogenic facial nerve palsy : Lessons to learn. / Abdullah, Asma; Mat Baki, Marina; Mazita, A.; Fadzilah, I.; Mazlina, S.; Saim, L.

In: Singapore Medical Journal, Vol. 50, No. 12, 12.2009, p. 1154-1157.

Research output: Contribution to journalArticle

Abdullah, A, Mat Baki, M, Mazita, A, Fadzilah, I, Mazlina, S & Saim, L 2009, 'Latrogenic facial nerve palsy: Lessons to learn', Singapore Medical Journal, vol. 50, no. 12, pp. 1154-1157.
Abdullah A, Mat Baki M, Mazita A, Fadzilah I, Mazlina S, Saim L. Latrogenic facial nerve palsy: Lessons to learn. Singapore Medical Journal. 2009 Dec;50(12):1154-1157.
Abdullah, Asma ; Mat Baki, Marina ; Mazita, A. ; Fadzilah, I. ; Mazlina, S. ; Saim, L. / Latrogenic facial nerve palsy : Lessons to learn. In: Singapore Medical Journal. 2009 ; Vol. 50, No. 12. pp. 1154-1157.
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