Facial palsy after blunt trauma and without facial bone fracture.
A 14-year-old patient had a low-energy facial blunt trauma that evolved to right facial paralysis caused by parotid hematoma with parotid salivary gland lesion. Computed tomography and angiography demonstrated intraparotid collection without pseudoaneurysm and without radiologic signs of fracture in the face. The patient was treated with serial punctures for hematoma deflation, resolving with regression and complete remission of facial paralysis, with no late sequela. The authors discuss the relationship between facial nerve traumatic injuries associated or not with the presence of facial fractures, emphasizing the importance of early recognition and appropriate treatment of such cases.
Coltro
Pedro Soler
PS
Faculty of Medicine, University of São Paulo, São Paulo, Brazil. pscoltro@hotmail.com
Goldenberg
Dov Charles
DC
Aldunate
Johnny Leandro Conduta Borda
JL
Alessi
Mariana Sisto
MS
Chang
Alexandre Jin Bok Audi
AJ
Alonso
Nivaldo
N
Ferreira
Marcus Castro
MC
D000293:Adolescent; D000792:Angiography; D020209:Cranial Nerve Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005151:Facial Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005158:Facial Paralysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D010306:Parotid Gland / Q000000981:diagnostic imaging / Q000293:injuries*; D011677:Punctures; D014057:Tomography, X-Ray Computed; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy