Year : 2024

Volume : Volume 15

Issue : Issue 5

Address for correspondence :
Dr. Sanaa Shahed
009sshah@gmail.com

Abstract

Background: Facial nerve paralysis is the most common cranial nerve disorder, and it results in a characteristic facial distortion that is determined in part by the nerve branches involved. The initial assessment of a patient presenting with facial weakness distinguishing between a lower motor neuron and an upper motor neuron palsy, as the likely causes and, therefore, treatment for these vary significantly. Summary: A 42-year-old female patient reported to the department of oral and maxillofacial surgery presented with complaints of facial asymmetry and muscle weakness of her right side of the face after surgical dis-impaction after 5 day. Conclusion: There were few previously documented cases of facial palsy after maxillary and mandibular dental or surgical procedures. In most cases, paralysis began immediately after the injection of the mandibular anesthesia, and the duration of facial weakness was <12 h; a variety of different mechanisms can be associated with facial palsy, including viral reactivation, neural demyelination, edema, vasospasm, and trauma. The purpose of this presentation is to report a rare case of facial paralysis that had occurred on the contralateral side of face after mandibular 3rd molar extraction, to identify the probable cause of facial palsy, clinical evaluation, and examination, and subsequently follow-up with the direct management of the cause that was done with utmost importance of the multidisciplinary approach.