Traumatic facial nerve palsy

Traumatic facial nerve palsy

Professional Development

8 Qs

quiz-placeholder

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Traumatic facial nerve palsy

Traumatic facial nerve palsy

Assessment

Quiz

Other

Professional Development

Medium

Created by

VIRAPORN ATCHARIYASATHIAN

Used 5+ times

FREE Resource

8 questions

Show all answers

1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

1. Which of the following conditions is most likely to result from injury  of the facial nerve at the stylomastoid foramen?

Facial weakness

Hyperacusis

Decreased tear production

Loss of taste sensation

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Media Image

A 45-year-old man is diagnosed with Iatrogenic facial nerve palsy for 1wk. If ENoG shows as picture, what is the recommended next step?

Serial ENoG

Immediate surgical decompression

Physical therapy

No intervention, as the nerve will regenerate on its own

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

  1. A 40-year-old male undergoes mastoidectomy for cholesteatoma. During surgery, the surgeon suspects facial nerve exposure in the mastoid segment.

Which structure should the surgeon identify to confirm the location of the facial nerve?

Cochleariform process

Horizontal semicircular canal

Henle spine

Pyramidal eminence

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

If the nerve is found to be dehiscent but intact, what is the best management strategy?

Ignore the finding and continue surgery

Perform facial nereve decompression

Cover the exposed nerve with fascia

Proceed with complete nerve transection to prevent future damage

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

If the nerve is found to be partial transection >50%

, what is the best management strategy?

Perform facial nereve decompression

Cover the exposed nerve with fascia

Proceed with complete nerve transection to prevent future damage

nerve repair via direct end to end anastomosis

6.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

6.A 7-year-old child has complete left-sided facial weakness after cochlear implant. The surgeon reviews the intraoperative records and finds no signs of nerve transection.

What is the most appropriate initial postoperative management for this patient?

Immediate explore and decompression facial nerve

High-dose corticosteroids and close monitoring

Orders an electroneurography (ENoG) test

No intervention, as recovery is unlikely

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A 30-year-old man presented with right facial wound and facial paralysis (HB Grade VI) . What is the most proper management

Immediate surgical exploration

High-dose corticosteroids and observation

Electroneurography (ENoG) to assess nerve function

Start facial rehabilitation therapy

8.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

28-year-old soldier presents with complete right-sided facial paralysis after a gunshot wound to the temporal bone. Surgical exploration confirms a completely severed main trunk of the facial nerve.What is the best surgical approach for this patient?

Direct end-to-end anastomosis if tension-free

Nerve graft using the greater auricular nerve

Leave the nerve untouched and wait for natural recovery

Immediate facial reanimation surgery