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Case Reports
. 2020 Nov 6:30:100370.
doi: 10.1016/j.tcr.2020.100370. eCollection 2020 Dec.

Perforating foreign body causing incomplete facial paralysis

Till Berk  1 , Hans-Christoph Pape  1 , Gerrolt Nico Jukema  1
Affiliations
Case Reports

Perforating foreign body causing incomplete facial paralysis

Till Berk et al. Trauma Case Rep. .

Abstract

Facial nerve trauma is a common cause of facial paralysis; both blunt and penetrating forces may compromise the facial nerve. A comprehensive primary and secondary survey is essential for diagnosis and treatment of the injury. Here we report on a young patient who sustained a quad bike accident, leading to an perforating injuries of the face from a bough, causing facial paralysis.

Keywords: Facial muscle weakness; Facial nerve trauma; Facial paralysis; Foreign body; Perforating injuries; Traumatic facial paralysis.

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Conflict of interest statement

The authors report no conflict of interest concerning the materials or methods referred in this case report or the findings specified in this article. The authors state that this work has not been previously published in whole or in part or submitted elsewhere for review.

Figures

Fig. 1
Fig. 1
At primary survey, the patient presented with incomplete, peripheral, left sided facial paralysis (right) Four days prior to admission, the minor wound adjacent to the left tragus had been closed prematurely (left).
Fig. 2
Fig. 2
Preoperative clinical testing. The patient demonstrated incomplete, peripheral, left sided facial paralysis.
Fig. 3
Fig. 3
Representative coronary slices of the initial CT scan. The arrow indicates the cylindrical foreign body close to the temporal styloid process. An additional MRI was performed to identify the exact location, composition and size of the foreign body. Intraoperative Findings. After surgical exploration, a piece of wood measuring 30 × 3 mm was readily extracted.
See this image and copyright information in PMC

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