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Weakness of buccal branch of facial nerve after canine fossa puncture

Published online by Cambridge University Press:  27 September 2010

J Y Byun ,
J Y Lee  and
B J Baek
J Y Byun
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital, South Korea
J Y Lee*
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon Hospital, South Korea
B J Baek
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Cheonan Hospital, South Korea
*
Address for correspondence: Dr Jae Yong Lee, 1174 Jung-Dong, Wonmi-Gu, Bucheon-Si, Gyeonggi-Do, 420-767, South Korea Fax:  + 82 32 621 5016 E-mail: [email protected]
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Abstract

Objective:

We report a case of weakness of the buccal branch of the facial nerve after a canine fossa puncture procedure.

Method:

A case report and literature review are presented.

Results:

A 52-year-old woman diagnosed with right chronic maxillary sinusitis underwent canine fossa puncture during endoscopic sinus surgery. Immediately after the operation, she complained of motor weakness of the right upper lip and oral commissure, in the area innervated by the buccal branch of the facial nerve. Electroneurography revealed incomplete paralysis of the right buccal branch. However, facial weakness had recovered spontaneously by three months post-operatively, with no permanent disability.

Conclusion:

This is the first reported case of an injury to the buccal branch of the facial nerve following canine fossa puncture. Although the incidence of this complication is very low, surgeons should inform their patients of the possibility, and should take care when choosing the puncture site.

Keywords

Maxillary SinusFacial ParalysisCanine FossaMaxilla
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 2 , February 2011 , pp. 214 - 216
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Jiang, RS, Hsu, CY. Functional endoscopic sinus surgery in children and adults. Ann Otol Rhinol Laryngol 2000;109:1113–16Google Scholar
2McMains, KC, Kountakis, SE. Revision functional endoscopic sinus surgery: objective and subjective surgical outcomes. Am J Rhinol 2005;19:344–7CrossRefGoogle ScholarPubMed
3Watelet, JB, Annicq, B, van Cauwenberge, P, Bachert, C. Objective outcome after functional endoscopic sinus surgery: prediction factors. Laryngoscope 2004;114:1092–7Google Scholar
4Sathananthar, S, Nagaonkar, S, Paleri, V, Le, T, Robinson, S, Wormald, PJ. Canine fossa puncture and clearance of the maxillary sinus for the severely diseased maxillary sinus. Laryngoscope 2005;115:1785–8Google Scholar
5Robinson, SR, Baird, R, Le, T, Wormald, PJ. The incidence of complications after canine fossa puncture performed during endoscopic sinus surgery. Am J Rhinol Allergy 2005;19:203–6CrossRefGoogle ScholarPubMed
6Ferekidis, E, Tzounakos, P, Kandiloros, D, Kaberos, A, Adamopoulos, G. Modifications of the Caldwell-Luc procedure for the prevention of postoperative sensitivity disorders. J Laryngol Otol 1996;110:228–31CrossRefGoogle ScholarPubMed
7Robinson, S, Wormald, PJ. Patterns of innervation of the anterior maxilla: a cadaver study with relevance to canine fossa puncture of the maxillary sinus. Laryngoscope 2005;115:1785–8CrossRefGoogle ScholarPubMed
8Gosain, AK. Surgical anatomy of the facial nerve. Clin Plast Surg 1995;22:241–51CrossRefGoogle ScholarPubMed