Accidental vs. Iatrogenic trauma and their surgical outcome of facial nerve surgery
Mohamed, A., Ibrahim, K., Sayed, R., Eshazly, M. (2023). Accidental vs. Iatrogenic trauma and their surgical outcome of facial nerve surgery. EKB Journal Management System, 9(1), 11-20. doi: 10.21608/ejnso.2023.293308
Arafat Mahmoud Mohamed; Khaled abdelrahman Ali Ibrahim; Ramadan Hashem Sayed; Mohamed Abd elrhman Eshazly. "Accidental vs. Iatrogenic trauma and their surgical outcome of facial nerve surgery". EKB Journal Management System, 9, 1, 2023, 11-20. doi: 10.21608/ejnso.2023.293308
Mohamed, A., Ibrahim, K., Sayed, R., Eshazly, M. (2023). 'Accidental vs. Iatrogenic trauma and their surgical outcome of facial nerve surgery', EKB Journal Management System, 9(1), pp. 11-20. doi: 10.21608/ejnso.2023.293308
Mohamed, A., Ibrahim, K., Sayed, R., Eshazly, M. Accidental vs. Iatrogenic trauma and their surgical outcome of facial nerve surgery. EKB Journal Management System, 2023; 9(1): 11-20. doi: 10.21608/ejnso.2023.293308

Accidental vs. Iatrogenic trauma and their surgical outcome of facial nerve surgery

Egyptian Journal of Neck Surgery and Otorhinolaryngology
Article 2, Volume 9, Issue 1, April 2023, Page 11-20  XML PDF (518.95 K)
Document Type: Original Article
DOI: 10.21608/ejnso.2023.293308
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Authors
Arafat Mahmoud Mohamedorcid 1; Khaled abdelrahman Ali Ibrahim2; Ramadan Hashem Sayed3; Mohamed Abd elrhman Eshazly4
1otolaryngology, medicine, sohag university, sohag, egypt
2ENt, sohag university, sohag, Egypt
3Sohag University
4otolaryngology, kasr alaini medicine, cairo university, cairo, egypt
Abstract
Introduction: Introduction: -The facial nerve (FN) is at risk for an injury through its course by accidental or surgical trauma. FN trauma management is a challenging as spontaneous recovery is unpredicted.
Patient and Methods:  A prospective study was conducted on patients (22 cases) with posttraumatic LMN FN paralysis (accidental /iatrogenic etiology) who were candidates for surgical intervention.
Results: At final post intervention (1 year) follow-up, 7/22 patients (31.82%) had mild dysfunction (House–Brackmann (HB) grade II), 12/22 cases (54.55%) had a moderate dysfunction (HB grade III), 2/22 cases (9.09%) had moderately severe dysfunction (HB grade IV) and 1/22 case (4.55%) had total dysfunction (HB grade VI).
Conclusion: The outcome of the FN function following the surgical repair is significantly better in cases with accidental trauma compared to those with surgical trauma. This means that the insult of the surgeon on FN is much worse than accidents.
 
 
Keywords
Facial nerve; Surgical; Accidental trauma; Outcome
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