Nonoperative Management of Traumatic Facial Nerve Palsy

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Abstract
Forty-five patients with facial nerve palsy resulting from head injury were treated nonoperatively between 1975-1981. Of 31 patients who had polytomography, temporal bone fractures were demonstrated in 29. In 44 of 45 injuries, satisfactory clinical improvement in motor function was noted, including 65% (overall) who showed complete recovery. Fracture direction on polytomography, results of electromyography (performed in 10 cases) and time of onset of paralysis were not correlated with outcome. These findings suggest a limited role for early surgery in closed traumatic facial nerve palsy.

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