Vol - 30, Issue - 12
About the Journal
[This article belongs to Volume - 30, Issue - 12]
International Medical Journal
Journal ID : IMJ-19-12-2023-1672
Total View : 390

Abstract : Lacerations are pattern of injury in which skin and underlying tissues are cut or torn. Facial paralysis can be a devastating complication post penetrating trauma of head and neck. A 25-year-old gentleman was alleged assault with a knife and sustained left neck laceration wound on the night of Deepavali with delayed left facial nerve palsy of House Brackman Grade VI. Upon examination, left neck laceration wound was 13 x 5 cm with haemostatic suture seen over platysma muscle with no signs of active bleeding and haematoma. Contrast Enhanced Computed Tomography of the neck revealed superficial left neck laceration wound with left platysma muscle transection and left salivary gland involvement. Neck exploration was done. Intra-operatively found laceration at superficial left parotid gland, bleeding from left facial vein injury and the left facial nerve was transected with stimulatable distal part, but not on the proximal part. Then, proceeded with facial nerve re-anastomosis and haemostasis. Post operatively, facial nerve palsy improved to Grade V on follow up. This case report enlighten on the inevitable inauspicious recovery outcome despite early interventions taken.

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