Post Traumatic Mask Face, Diagnostic Dilemma in Bilateral Traumatic Facial Palsy. Case Report


  • SHAMS- UD-DIN Quaid-e-Azam International Hospital, Islamabad
  • ISHFAQ AHMAD Quaid-e-Azam International Hospital, Islamabad



Facial Nerve Injury FNI, Temporal Bone Fracture TBF, Bilateral facial palsy BFP, Cerebrospinal Fluid Leak CSF, Hearing loss, Anterior cranial fossa, Middle Cranial Fossa, Posterior Cranial fossa


Traumatic temporal bone fractures, most of the time presents with complications in the form of cerebrospinal fluid leak, facial nerve injury as it enters the petrous part of temporal bone and also sometimes hearing loss due to concomitant vestibulocochlear nerve injury.2,3,4 Second most vulnerable nerve in head injury is facial nerve, with olfactory nerve being the first, and one reason for this is the tortuous bony course in the skull base and temporal bone.8-12 Evaluating facial nerve injury in head injury patient start with an inspection of the temporal bone for any signs of injury, i.e. laceration or visible auditory cartilage or any hematomas or bruises over mastoid, which is called Battle sign.10-12 Functional testing of facial nerve should be recorded in head injury with temporal bone fracture as soon as possible.1, 3- D CT reconstruction of the skull and temporal bone should be carried out when there is suspicion of facial nerve injury.11,12 Complementary electro diagnostic testing should also be performed in order to assess the severity of facial nerve injury.2,3,4 These all helps in early detection and further management of facial nerve injury.5,6,7,11 We presented a case of 18years old male who had road traffic accident on 29.10.2018. This patient suffered with the head injury with bleeding from nose and right ear. 


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