Abstract

Temporal bone fractures following head trauma may be associated with facial paralysis which causes significant morbidity. Ossicular chain disruptions can also occur, leading to hearing loss. A 12-year-old patient was admitted to our clinic with facial paralysis caused solely by the dislocated incus following a head trauma. Longitudinal temporal bone fracture was also present. Surgical decompression with ossiculoplasty showed significant improvement in both hearing loss and facial paralysis. In such cases, surgical approach may be required. Electroneuronography and electromyography are helpful in deciding the surgical intervention. If there is an ossicular chain disruption, ossiculoplasty should be also performed concurrently.