Acute, Temporary, Unilateral Facial Nerve Palsy After Dermatologic Surgery: A Report of 3 Cases

Journal of Cutaneous Medicine and Surgery
Jacquelyn Majerowski, Yaohui G Xu

Abstract

Facial nerve dysfunction can be functionally and cosmetically debilitating and is commonly associated with high anxiety for patients. We report 3 cases of temporary, unilateral facial nerve palsy following dermatologic surgery under local anaesthesia over the preauricular cheek and mandibular angle, which, to our knowledge, has not been reported in the literature. Given its frightening presentation mimicking a stroke, it is essential for dermatologists to become aware of this complication to inform their patients more thoroughly. Thus, when performing facial surgery over these regions, we recommend that dermatologists include this rare complication and its good prognosis in the consenting process to minimise anxiety for those who experience it intra- or postoperatively.

References

Jan 12, 2007·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Ali Hendi
Dec 21, 2007·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Ali Hendi
Jul 8, 2010·International Journal of Oral and Maxillofacial Surgery·V ChevalierM Roux
Mar 21, 2012·Anesthesia Progress·Fotios H TzermposIoannis Iatrou
Jun 11, 2014·Headache·Lauren StraussPaul Rizzoli
Jul 22, 2014·Clinical and Experimental Dermatology·S M BrownJ Langtry

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