Multiple choice

Which of the following is the correct reason of facial nerve injury during forceps delivery in labour?

  1. When the mastoid process is absent at birth.

  2. When the parotid gland is in developing stage.

  3. When the beak of the forceps engages the main trunk of facial nerve.

  4. When the sublingual hematoma during delivery causes neuropraxia.
Reveal answer Fill a bubble to check yourself
C Correct answer
Explanation

New born facial paralysis is estimated to have an incidence of about 0.23% of live births. The most common cause is birth trauma (80%).This is due to difficult delivery with/ without forceps and leads to facial swelling, bruising over the mastoid, bruising over extratemporal course of the nerve and hemotympanum, causing compression over facial nerve, which can lead to facial paralysis. Therefore early decompression of the treatment of choice in traumatic nerve injury.  

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