RESUMEN
The presence of a lymph node in lower enlarged portion of facial canal causing facial spasm is described and illustrated. As contrast to this case, a case of extreme narrowing of the canal causing palsy of the facial nerve is mentioned.
Asunto(s)
Nervio Facial , Parálisis Facial/etiología , Ganglios Linfáticos , Trastornos de Tic/etiología , Adulto , Constricción Patológica , Femenino , Humanos , Masculino , Hueso TemporalRESUMEN
A case of successful surgical treatment of facial spasm by seventh nerve decompression is reported in a female patient who failed to improve by usual methods of treatment. Prior to surgery, tomography of the facial canal was obtained, and revealed an osseous spine involving the posterior wall of the canal. During surgery, this spine was uncovered and removed with pneumatized retrofacial air cells. The patient's spasm disappeared completely following surgery. The present case indicates that the possibility of osseous spines impinging on the facial nerve should be considered in all cases of facial spasm.