case_images: PMC7563085_01
case_images: (a) Bilateral Charles Bell's phenomenon with mask-like face. (b) Left ear hemotympanum. (c) Left abducens palsy.
case_images: CRIOT2020-8843187.001.jpg
case_images: PMC7563085_01_CRIOT2020-8843187.001.jpg
case_images: fig1
case_images: A bilateral Charles Bell's phenomenon was noted, as well as an abduction deficit on the left eye (Figures 1(a) and 1(c)). Otoscopy revealed bilateral hemotympanum (Figure 1(b)).
case_images: Transverse section of cranial CT (plane of incudomalleolar joint) showing right longitudinal otic-sparing temporal bone fracture (yellow arrows) and left transverse temporal bone fracture (red arrows).
case_images: CRIOT2020-8843187.002.jpg
case_images: PMC7563085_01_CRIOT2020-8843187.002.jpg
case_images: fig2
case_images: High-resolution computed tomography (HRCT) showed an otic-sparing longitudinal right temporal bone fractures and a transversal left temporal bone fracture (Figure 2).
case_images: (a) Two-week follow-up: improvement of the right-side facial palsy. (b) Two-month follow-up: development of the mouth movement exhibiting the progressive return of function of the lower branches of the facial nerve. (c) Two-month follow-up: recovery of the left abducens palsy. (d) Six-month follow-up: evolution of the bilateral facial paralysis.
case_images: CRIOT2020-8843187.003.jpg
case_images: PMC7563085_01_CRIOT2020-8843187.003.jpg
case_images: fig3
case_images: At the two-week follow-up, after the stabilization of the patient, we noticed a remarkable improvement concerning the right side of the facial palsy, becoming a grade 2 H-B (Figure 3)(a), which encouraged to pursue with the conservative approach. Six months after the accident, the patient exhibited H-B grade 1 recovery on the right and H-B grade 2 recovery on the left side (Figure 3)(d).