Leading article
Investigation and treatment of facial paralysis
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Acute lower motor neurone facial paralysis is a common
presentation in childhood. In most cases, an aetiological agent is not
identified and the condition resolves spontaneously. A small number of
cases are caused by a variety of underlying pathologies
some of which
may have significant morbidity and mortality associated with them.
The facial nerve (VII) leaves the pons at the pontomedullary junction,
enters the skull via the internal auditory meatus, and passes along the
facial canal. The nerve passes in close proximity to the medial wall of
the inner ear and the mastoid cavity. During its course through the
petrous temporal bone, branches leave to supply the lacrimal glands,
the stapedius muscle in the inner ear, sensation for auricular skin,
the sublingual and submandibular salivary glands, and taste fibres to
the anterior two thirds of the tongue. The facial nerve exits the skull
via the stylomastoid foramen and terminal branches
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[Abstract] [Full Text]
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- Different faces of facial paralysis
- Samudra Mukherjee
- ADC Online, 19 Apr 2001 [Full text]
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