Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy

The temporal bone is often affected in basilar skull fractures. Fractures involving the petrous portion are particularly significant, as they may be associated with neurovascular sequelae. Bilateral facial paralysis secondary to bilateral temporal bone fracture is a rare clinical entity, even more s...

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Main Authors: Imane Ouhbi, Taoufik Abdellaoui, Noureddine Errami, Fouad Benariba
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2020/8843187
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author Imane Ouhbi
Taoufik Abdellaoui
Noureddine Errami
Fouad Benariba
author_facet Imane Ouhbi
Taoufik Abdellaoui
Noureddine Errami
Fouad Benariba
author_sort Imane Ouhbi
collection DOAJ
description The temporal bone is often affected in basilar skull fractures. Fractures involving the petrous portion are particularly significant, as they may be associated with neurovascular sequelae. Bilateral facial paralysis secondary to bilateral temporal bone fracture is a rare clinical entity, even more so when associated with other cranial nerve damage such as abducens nerve paralysis and hearing impairment. Only 4 similar cases have been reported in the literature to date. In this paper, we describe a 28-year-old male patient with bilateral facial paralysis, unilateral abducens palsy, and bilateral hearing loss due to bitemporal fractures that developed after a motor vehicle accident. Conservative management was preferred. The 6-month follow-up showed remarkable improvement. This report highlights the effectiveness of conservative management in posttraumatic complete facial and abducens palsy.
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institution Kabale University
issn 2090-6765
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language English
publishDate 2020-01-01
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series Case Reports in Otolaryngology
spelling doaj-art-07eef1fcb5bd41a5af5df2c2059ce65b2025-08-20T03:55:28ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/88431878843187Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens PalsyImane Ouhbi0Taoufik Abdellaoui1Noureddine Errami2Fouad Benariba3Department of Otolaryngology, Military Hospital Mohamed V, Rabat, MoroccoDepartment of Ophthalmology, Military Hospital Mohamed V, Rabat, MoroccoDepartment of Otolaryngology, Military Hospital Mohamed V, Rabat, MoroccoDepartment of Otolaryngology, Military Hospital Mohamed V, Rabat, MoroccoThe temporal bone is often affected in basilar skull fractures. Fractures involving the petrous portion are particularly significant, as they may be associated with neurovascular sequelae. Bilateral facial paralysis secondary to bilateral temporal bone fracture is a rare clinical entity, even more so when associated with other cranial nerve damage such as abducens nerve paralysis and hearing impairment. Only 4 similar cases have been reported in the literature to date. In this paper, we describe a 28-year-old male patient with bilateral facial paralysis, unilateral abducens palsy, and bilateral hearing loss due to bitemporal fractures that developed after a motor vehicle accident. Conservative management was preferred. The 6-month follow-up showed remarkable improvement. This report highlights the effectiveness of conservative management in posttraumatic complete facial and abducens palsy.http://dx.doi.org/10.1155/2020/8843187
spellingShingle Imane Ouhbi
Taoufik Abdellaoui
Noureddine Errami
Fouad Benariba
Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy
Case Reports in Otolaryngology
title Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy
title_full Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy
title_fullStr Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy
title_full_unstemmed Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy
title_short Bilateral Traumatic Facial Paralysis with Hearing Impairment and Abducens Palsy
title_sort bilateral traumatic facial paralysis with hearing impairment and abducens palsy
url http://dx.doi.org/10.1155/2020/8843187
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