title: Traumatic facial nerve neuroma with facial palsy presenting in infancy.
abstract: OBJECTIVE
  To describe the management of traumatic neuroma of the facial nerve in a child and literature review.
  
  
  METHODS
  Sixteen-month-old male subject.
  
  
  METHODS
  Radiological imaging and surgery.
  
  
  METHODS
  Facial nerve function.
  
  
  RESULTS
  The patient presented at 16 months with a right facial palsy and was found to have a right facial nerve traumatic neuroma. A transmastoid, middle fossa resection of the right facial nerve lesion was undertaken with a successful facial nerve-to-hypoglossal nerve anastomosis. The facial palsy improved postoperatively.
  
  
  CONCLUSIONS
  A traumatic neuroma should be considered in an infant who presents with facial palsy, even in the absence of an obvious history of trauma. The treatment of such lesion is complex in any age group but especially in young children. Symptoms, age, lesion size, growth rate, and facial nerve function determine the appropriate management.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21287, USA. jclark79@jhmi.edu
authors.forename: James H
authors.initials: JH
authors.lastname: Clark
authors.forename: Peter C
authors.initials: PC
authors.lastname: Burger
authors.forename: Derek Kofi
authors.initials: DK
authors.lastname: Boahene
authors.forename: John K
authors.initials: JK
authors.lastname: Niparko
mesh_terms: D000714:Anastomosis, Surgical; D003390:Cranial Nerve Neoplasms / Q000150:complications / Q000209:etiology* / Q000473:pathology; D005154:Facial Nerve / Q000502:physiology / Q000601:surgery; D005155:Facial Nerve Diseases / Q000150:complications / Q000209:etiology* / Q000473:pathology; D020220:Facial Nerve Injuries / Q000150:complications* / Q000473:pathology; D005158:Facial Paralysis / Q000209:etiology; D006801:Humans; D007002:Hypoglossal Nerve / Q000601:surgery; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D009463:Neuroma / Q000150:complications / Q000209:etiology* / Q000473:pathology; D016634:Radiosurgery; D016896:Treatment Outcome