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This study retrospectively identifies and characterizes patients with facial palsy related to birth trauma and describes the natural history of this disorder. The records of infants born with facial weakness or paralysis over a 5-year period at Brigham and Women's Hospital were reviewed, and criteria were defined to assign a diagnosis of acquired facial palsy based on birth history and documented physical examinations. The majority of patients were followed up by interview with a family member. Among 44, infants born between October 1, and July 31, , there were 92 recorded cases of congenital seventh nerve palsy. Of these, 81 were acquired, for an incidence of 1.
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Facial nerve palsy due to birth trauma
Facial nerve palsy in the newborn: incidence and outcome
Duval M, Daniel SJ. Arch Otolaryngol Head Neck Surg. Objective To characterize the presentation, treatment, and outcome of neonates presenting with facial nerve palsy resulting from forceps use. Patients Neonates with facial nerve palsy caused by forceps use born during the period of April 1, , to April 1, Results Twenty-eight cases of facial nerve palsy caused by forceps use were identified.
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Facial Nerve Palsy in Neonates Secondary to Forceps Use
Facial nerve palsy due to birth trauma is the loss of controllable voluntary muscle movement in an infant's face due to pressure on the facial nerve just before or at the time of birth. An infant's facial nerve is also called the seventh cranial nerve. It can be damaged just before or at the time of delivery. Most of the time the cause is unknown. But a difficult delivery, with or without the use of an instrument called forceps, may lead to this condition.
Objective: To characterize the presentation, treatment, and outcome of neonates presenting with facial nerve palsy resulting from forceps use. Design: Retrospective medical chart review. Setting: Two tertiary care pediatric hospitals.