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Management Of The Facial Nerve Following Temporal Bone Ballistic Injury, Anne K. Maxwell, John C. Lemoine, Jacob B. Kahane, Celeste C. Gary
Management Of The Facial Nerve Following Temporal Bone Ballistic Injury, Anne K. Maxwell, John C. Lemoine, Jacob B. Kahane, Celeste C. Gary
School of Medicine Faculty Publications
Objective: To understand the patterns of temporal bone fracture and facial nerve injury from ballistic trauma. Study Design: Retrospective case series. Methods: Retrospective review of 42 patients evaluated following temporal bone ballistic injury at a single institution, university-based level-one trauma center between 2012 and 2021. Demographics, facial nerve status, CT images, interventions, complications, and outcomes were reviewed. Results: Mean age 30.3 years (range 5–58 years); 79% male. Racial demographics reflected the surrounding community. Seven mortalities occurred. Nineteen patients (54%) demonstrated facial nerve injury. Of those, 13/19 displayed immediate paralysis, 1 delayed, 5 unknown (due to altered mental status). On consultation, …