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    Facial Nerve Injury (Lower Motor Nerve Lesion, Surgically Related) Causes

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    Amrit Preet Kaur
    Facial nerve injury can be caused by trauma, surgery such as parotidectomy, compression of the facial nerve, or Bell's palsy. Clinical features include an inability to close the eyelid, difficulty blowing and clenching, and drooping of the angle of the mouth. Treatment options include nerve grafting, suspension of the angle of the mouth using temporal fascia, lateral tarsorrhaphy to prevent corneal ulceration, and medial canthus reconstruction to reduce tearing. Surgeries for facial nerve palsy include static procedures like suspension surgeries and lid weights or dynamic procedures such as muscle transfers and nerve grafts.

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    Facial Nerve Injury (Lower Motor Nerve Lesion, Surgically Related) Causes

    Uploaded by

    Amrit Preet Kaur
    26 views2 pages
    Facial nerve injury can be caused by trauma, surgery such as parotidectomy, compression of the facial nerve, or Bell's palsy. Clinical features include an inability to close the eyelid, difficulty blowing and clenching, and drooping of the angle of the mouth. Treatment options include nerve grafting, suspension of the angle of the mouth using temporal fascia, lateral tarsorrhaphy to prevent corneal ulceration, and medial canthus reconstruction to reduce tearing. Surgeries for facial nerve palsy include static procedures like suspension surgeries and lid weights or dynamic procedures such as muscle transfers and nerve grafts.

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    FACIAL

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    Facial Nerve Injury

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    Facial nerve injury can be caused by trauma, surgery such as parotidectomy, compression of the facial nerve, or Bell's palsy. Clinical features include an inability to close the eyelid, difficulty blowing and clenching, and drooping of the angle of the mouth. Treatment options include nerve grafting, suspension of the angle of the mouth using temporal fascia, lateral tarsorrhaphy to prevent corneal ulceration, and medial canthus reconstruction to reduce tearing. Surgeries for facial nerve palsy include static procedures like suspension surgeries and lid weights or dynamic procedures such as muscle transfers and nerve grafts.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    26 views2 pages

    Facial Nerve Injury (Lower Motor Nerve Lesion, Surgically Related) Causes

    Uploaded by

    Amrit Preet Kaur
    Facial nerve injury can be caused by trauma, surgery such as parotidectomy, compression of the facial nerve, or Bell's palsy. Clinical features include an inability to close the eyelid, difficulty blowing and clenching, and drooping of the angle of the mouth. Treatment options include nerve grafting, suspension of the angle of the mouth using temporal fascia, lateral tarsorrhaphy to prevent corneal ulceration, and medial canthus reconstruction to reduce tearing. Surgeries for facial nerve palsy include static procedures like suspension surgeries and lid weights or dynamic procedures such as muscle transfers and nerve grafts.

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    FACIAL NERVE INJURY

    (Lower motor nerve lesion, surgically related)

    Causes
    Trauma
    Surgeryparotidectomy, drainage of parotid abscess
    Compression of facial nerveBells palsy.
    Incidence of temporary/transient facial nerve palsy after parotidectomy is 30%.
    Recovery occurs usually in 12 weeks.

    Clinical Features
    Inability to close the eye-lid.
    Difficulty in blowing and clenching.
    Drooping of the angle of the mouth.
    Obliteration of naso-labial fold.
    Loss of forehead wrinkles.
    Wide palpebral fissure.
    Epiphora.

    Treatment
    Nerve grafting using greater auricular nerve, sural nerve, lateral cutaneous
    nerve of thigh or hypoglossal nerve.
    Suspension of angle of mouth to zygomatic bone using temporal fascia sling.
    Lateral tarsorrhaphyto prevent corneal ulceration
    Medial canthus reconstructionto reduce epiphora.
    Cross facial nerve transplantation from opposite side using its insignificant
    branches.
    Dynamic neuro-vascular muscle graft.
    Upper lid gold weights to protect cornea.

    Surgeries for facial nerve palsy


    Static
    Suspension surgeries using temporal fascia
    Correction of medial canthus
    Lateral tarsorrhaphy to prevent exposure keratitis due to widened palpebral
    fissure.
    Upper lid weights
    Dynamic
    Muscle transfer-temporal to masseter
    Free muscle graft. Gracilis muscle neurovascular transfer
    Cross facial nerve transplant from opposite facial nerve to injured facial nerve
    using sural nerve.
    Nerve grafts.

    Heerfordts syndrome is sarcoidosis of parotid swelling; anterior uveitis; facial


    palsy and fever.

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