Facial nerve palsy after mandibular fracture.

Weinberg, M J; Merx, P; Antonyshyn, O; Farb, R · Ann Plast Surg · 1995

case_report · Level V

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Abstract

A 19-year-old man sustained a right parasymphyseal fracture and bilateral condylar neck fractures in a motor vehicle accident. The parasymphyseal fracture was treated by open reduction and internal fixation, and the subcondylar fractures were treated with closed reduction and maxillomandibular fixation. Three days postoperatively, a near-complete left facial nerve palsy developed. Facial nerve recovery was not full. The literature is reviewed, and possible mechanisms of this rare and devastating complication are discussed.

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