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  • Dr. Panossian
  • FACIAL PARALYSIS OVERVIEW
  • ABOUT
  • CONDITIONS
    • Bell’s Palsy
    • Facial Nerve Trauma
    • Tumors
    • Moebius Syndrome
    • Hemifacial Microsomia
    • Stroke
    • Ramsay Hunt Syndrome
    • Synkinesis
    • Neurotrophic Keratopathy
  • TREATMENTS
    • Temporalis Myoplasty
    • Gracilis Muscle Transplant (Cross Face Nerve Graft)
    • Gracilis Muscle Transplant (Masseter Nerve)
    • Cross Face Nerve Graft
    • Nerve Transfers
    • Facial Asymmetry Correction
    • Botox® for facial paralysis
    • Eyelid Surgery for Facial Paralysis
    • Facial Reanimation
    • Static Sling
    • Facelift for Facial Paralysis
    • Brow Lift for facial paralysis
    • Selective Neurolysis for Synkinesis
    • Corneal Neurotization
  • PHOTO GALLERY
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    • Brow Lift
    • Symmetry Procedures
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Facial Nerve Trauma

Home » Facial Paralysis » Conditions » Facial Nerve Trauma
Woman with facial paralysis after facial nerve trauma.
Woman with facial paralysis
after facial nerve trauma.

Trauma can occur anywhere along the path of the facial nerve, from the brainstem all the way to its connections with facial muscles. Injury to the facial nerve can result in either complete disruption or bruising and inflammation of the nerve. In the event of a complete disruption (also known as “neurotmesis”), the ability for self-repair is absent. In other words, without direct repair or nerve grafting, the facial nerve will fail to regenerate normally. When only a blunt trauma occurs or if there is swelling and inflammation of adjacent damaged tissues (also known as “neurapraxia”), the nerve is left in continuity and has the ability to fully regenerate and re-establish facial nerve function. There is, at times, an intermediate form of nerve injury where the structural framework of the nerve is maintained but individual
nerve fibers may be broken (called, “axonotmesis”). In this event, spontaneous regeneration can occur, but this may sometimes be associated with unwanted twitching or cross-innervation of facial nerve branches, known as “synkinesis.”

Depending upon where along the path the nerve is damaged, the picture of facial paralysis can be quite varied. For example, injury closer to the brainstem or main trunk of the facial nerve as it exits the skull behind the ear can result in complete facial paralysis with no functioning muscles, whereas injury at the level of the branches in the face will result in partial paralysis.

Common causes of trauma-related facial nerve injury include the following:

  • Sharp laceration
  • Dog bite
  • Temporal bone fracture
  • Birth trauma
  • Severe blunt force trauma
  • Gun shot
  • Jaw fracture
  • Dr panossian literally changed my life. I was diagnosed with a tumor when I was 38 and lost my facial nerve in the right side of my face. After 2 outdated procedures, witch left me looking worse than ever. The doctor rebuild my face and fixed my eye. I finaly look normal again. I didn’t like looking in the mirror for 2 years,now I love too and better than that, I feel good mentally again. Thank you Dr panossian. !

    • 5 stars
    • Arizona Brandon

As with all forms of facial paralysis, early intervention is the gold standard of treatment. A thorough exam and immediate surgical repair, if indicated, are the mainstays of management.


Author

This article was written by Dr. Andre Panossian. Last Modified December 11, 2020

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800-958-3778
  • Dr. Panossian
  • FACIAL PARALYSIS OVERVIEW
  • ABOUT
  • CONDITIONS
    • Bell’s Palsy
    • Facial Nerve Trauma
    • Tumors
    • Moebius Syndrome
    • Hemifacial Microsomia
    • Stroke
    • Ramsay Hunt Syndrome
    • Synkinesis
    • Neurotrophic Keratopathy
  • TREATMENTS
    • Temporalis Myoplasty
    • Gracilis Muscle Transplant (Cross Face Nerve Graft)
    • Gracilis Muscle Transplant (Masseter Nerve)
    • Cross Face Nerve Graft
    • Nerve Transfers
    • Facial Asymmetry Correction
    • Botox® for facial paralysis
    • Eyelid Surgery for Facial Paralysis
    • Facial Reanimation
    • Static Sling
    • Facelift for Facial Paralysis
    • Brow Lift for facial paralysis
    • Selective Neurolysis for Synkinesis
    • Corneal Neurotization
  • PHOTO GALLERY
    • Smile Reanimation
    • Eyelid Surgery
    • Brow Lift
    • Symmetry Procedures
  • BACK TO MAIN SITE
  • CONTACT US
  • 800-958-3778

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