Post-Traumatic Facial Palsy: Report of Two Clinical Cases and Review of the Literature

Abstract

Dr. Khalil Hjaouj, Dr. Aya Ennouali, Dr. Mouad Mekkaoui, Dr. Zakaria Elhafi, Dr. Zakaria Arkoubi, Prof. Razika Bencheikh, Prof. Anas Benbouzid and Prof. Leila Essakalli

Background: Post-traumatic facial paralysis is a rare but functionally and psychologically devastating complication of temporal bone fractures, occurring in approximately 6–10% of cases. Early recognition and appropriate management are crucial for optimizing outcomes.

Objective: To describe two cases of post-traumatic facial paralysis in paediatric patients and to discuss the diagnostic and therapeutic challenges associated with this condition.

Methods: Two children presenting with facial paralysis following temporal bone trauma were evaluated clinically, radiologically, and electrophysiologically. Their management strategies and outcomes were compared.

Results: The first patient presented with immediate and complete facial paralysis following a high-impact head injury and underwent surgical exploration with nerve repair. The second developed delayed and incomplete paralysis managed conservatively with corticosteroids, achieving full recovery. Both cases highlight the role of imaging and electrodiagnostic studies in guiding treatment decisions.

Conclusion: Management of post-traumatic facial paralysis requires an individualised approach guided by the severity and timing of onset. Early diagnosis, accurate topographical evaluation, and a multidisciplinary strategy remain essential for optimal functional recovery.

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