Padda Rishab, Gupta Manish, Goyal Isha
Dept. of ENT, Gian Sagar Institute of Medical Science and Research, Patiala, India.
Dept. of ENT, AIMS, Mohali, India.
J Maxillofac Oral Surg. 2025 Jun;24(3):653-656. doi: 10.1007/s12663-025-02457-9. Epub 2025 Feb 5.
Bilateral facial nerve palsy is very rare and comprises only 0.3%-2% of facial palsy cases. This condition is often caused by disease affecting whole body (systemic) and therefore requires urgent intervention and evaluation. It has a broad differential diagnosis demands detailed history, examination and investigations for determining correct aetiology.
We present a case of bilateral post-traumatic concomitant facial nerve palsy that developed days after head trauma in a young male. We managed the patient conservatively keeping surgical option available. The patient recovered fully on medicinal therapy.
Timing of onset of facial palsy is of immense importance. Early intervention is desired in these cases for optimal results. The team should keep surgical option available if need arises.
双侧面神经麻痹非常罕见，仅占面瘫病例的0.3%-2%。这种情况通常由影响全身的疾病（系统性疾病）引起，因此需要紧急干预和评估。其鉴别诊断范围广泛，需要详细的病史、检查和调查以确定正确的病因。
我们报告一例年轻男性在头部创伤数天后发生的双侧创伤后伴发性面神经麻痹病例。我们对该患者进行了保守治疗，并保留了手术选项。患者通过药物治疗完全康复。
面瘫的发病时间至关重要。在这些病例中，为了获得最佳结果，需要早期干预。如有需要，团队应保留手术选项。
