LYCOS RETRIEVER 
Facial: Patients
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The immediate occurrence of facial paralysis with a transverse temporal bone fracture, suggests disruption of the nerve, and may be repaired when the patient is medically stable. The complicating factor is that often other life threatening issues exist, and require attention before the temporal bone fracture is addressed. Moreover, the best assessment of facial function requires a cooperative patient, and many patients are comatose following head trauma, making this impossible.
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These are the most noticeable features in the appearance of patients with facial palsy. Except for the problems of eye protection, this condition is ... the most troubling. The degree of paralysis is different for each patient.
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If facial nerve damage is suspected, the patient will undergo a careful examination of the head, neck, and ears. This clinical evaluation may include hearing tests, eye exams, imaging scans (including CT or MRI) and tests that evaluate the functional status of the nerve and measure its response.
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