title: Delayed Facial Nerve Palsy After Open Reduction of an Isolated Zygomaticomaxillary Complex Fracture.
abstract: Facial nerve paralysis is a devastating complication which can occur after a variety of otolaryngic procedures, including facial trauma repair. The frontal and marginal branches are most often placed at risk. However, facial nerve paralysis is not typically described as a risk in most uncomplicated facial trauma repairs of the zygomaticomaxillary complex (ZMC). In particular, buccal branch injury has not been described in a delayed setting following repair of the ZMC. The authors present a patient of delayed buccal branch paralysis following a simple ZMC repair which has not been previously reported.The diagnosis, clinical course, and management strategies for delayed facial nerve paralysis in the setting of a ZMC repair are discussed. This rare complication after facial trauma repair should be discussed with patients as a possible complication.
authors.affiliation: *Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center Portsmouth, Portsmouth, VA †F. MCAS Miramar, MAG 11 Flight Surgeon, 3d MAW Deputy Wing Surgeon, Marine Wing Headquarters Squadron 3, San Diego, CA.
authors.forename: Rodolfo E
authors.initials: RE
authors.lastname: Manosalva
authors.forename: Damian
authors.initials: D
authors.lastname: Dyckman
authors.forename: Jonathan M
authors.initials: JM
authors.lastname: Melzer
mesh_terms: D000328:Adult; D005158:Facial Paralysis / Q000175:diagnosis / Q000209:etiology*; D005592:Fracture Fixation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008440:Maxillary Fractures / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D015051:Zygomatic Fractures / Q000175:diagnosis / Q000601:surgery*