|
KMID : 0363220130510120975
|
|
Korean Journal of Dermatology
2013 Volume.51 No. 12 p.975 ~ p.978
|
|
|
Transient Unilateral Forehead Paralysis Following Mohs Micrographic Surgery
|
|
Kim Tae-Wook
Mun Je-Ho
Kim Hoon-Soo
Ko Hyun-Chang
Kim Byung-Soo
Kim Moon-Bum
Song Margaret
|
|
|
Abstract
|
|
|
|
Unilateral forehead paralysis is a well-documented symptom which follows the superficial temporal branch of thefacial nerve injury. The temporal branch holds the highest risk of injury during head and neck surgery among facialnerve branches because it runs superficially above the level of the zygomatic arch, and is not protected by thegalea-parietotemporal fascia. Injury to the nerves prior to its innervations into the frontalis muscles will result inunilateral frontalis paralysis which leads to a flattened forehead, eyebrow ptosis and an inability to raise theeyebrow. However, the postoperative forehead paralysis does not always leave permanent sequale. The restorationsfor motor functions of the nerves sometimes occur without any interventions from several days to several monthsafter the injury. This transient forehead paralysis may result from inhibitory effects for local anesthetics of motornerve function, neural edema, or direct nerve injury during the operation. Therefore, it is important to predict clinicalcourses and take appropriate management of postoperative facial nerve paralysis through the understandingneuroanatomy for temporal branch of facial nerves and sophisticated surgical techniques. Herein, we report a caseof transient unilateral forehead paralysis which follows Mohs’ micrographical surgery for basal cell carcinoma of lefttemple regions where the superficial temporal branch of the facial nerve runs.
|
|
|
KEYWORD
|
|
|
Mohs’ micrographic surgery, Unilateral forehead paralysis
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|