Etiology, evaluation, and management of facial nerve trauma


  • Ayman T. Bukhsh Department of Maxillofacial Surgery, King Abdul Aziz Specialist Hospital, Taif, Saudi Arabia
  • Talal N. Alosaimi Primary Health Care, Thar General Hospital, Najran, Saudi Arabia
  • Lujain Q. Alhamami Awaldent Medical Complex, Abha, Saudi Arabia
  • Yousef M. Alziyadi Muhayil Specialized Dental Center, Muhayil General Hospital, Asir, Saudi Arabia
  • Wiam M. Ahmed College of Dentistry, Taibah University, Medina, Saudi Arabia
  • Areej A. Alsanad Namira General Hospital, Al Qunfudah, Saudi Arabia
  • Abdulaziz A. Alanazi College of Dentistry, Prince Sattam Bin Abdulaziz University, Riyadh, Saudi Arabia
  • Sarah A. Gashlan Department of Maxillofacial Surgery, Specialized Dental Center, Najran, Saudi Arabia
  • Ghaida G. Aljohani College of Dentistry, Taibah University, Medina, Saudi Arabia
  • Ahlam S. Almuwallad College of Dentistry, Umm Al-Qura University, Mecca, Saudi Arabia
  • Salem H. Alqahtani Department of Dentistry, Al-Kharj Military Industrial Corporation Hospital, Al-Kharj, Saudi Arabia



Facial nerve trauma, Facial nerve paralysis, Nerve repair


A typical presenting concern in general practitioners' offices, emergency rooms, otolaryngology, and neurology departments are facial nerve paralysis. Penetrating injury to the facial nerve, especially iatrogenic damage, is one of the most frequent traumatic reasons of facial paralysis. The facial paralysis that results from blunt trauma that crushes the nerve frequently appears as an incomplete or delayed paralysis. The affected part of the nerve will determine how the injury manifests clinically. For adequate patient counseling with respect to prognosis and management, accurate diagnosis of facial nerve palsy must be achieved. The most often employed standardized instrument for determining the level of facial weakness is the House-Brackmann 6-grade instrument for facial nerve activity. The greatest success chances for reanimation occur in cases of a recent, sudden nerve transection i.e., less than 72 hours, where the nerve is quickly identified and repaired using direct coaptation or interposition grafts. The primary strategy of care is surveillance in situations with facial nerve paralysis where it is known that the nerve is physically intact such as blunt force trauma with incomplete or delayed complete paralysis. Neurological, muscular, static, and facial plastic treatments are some examples of facial reanimation approaches.


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How to Cite

Bukhsh, A. T., Alosaimi, T. N., Alhamami, L. Q., Alziyadi, Y. M., Ahmed, W. M., Alsanad, A. A., Alanazi, A. A., Gashlan, S. A., Aljohani, G. G., Almuwallad, A. S., & Alqahtani, S. H. (2022). Etiology, evaluation, and management of facial nerve trauma. International Journal Of Community Medicine And Public Health, 10(1), 428–432.



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