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Surgery General 562d9247

Facial nerve is injured during parotid surgery. Best management would be:

A
Immediate repair
B
Repair after 1 week
C
Repair after waiting for paial recovery of nerve
D
Do nothing, sent to higher centre
High-Yield Explanation
Ans is 'a' i.e. Immediate repair During mastoidectomy, when the facial nerve is injured, it is immediately explored. Injury to greater than 50% of the neural diameter of the facial nerve is addressed either with primary reanastomosis or reconstructed with the use of a nerve graft. Complete recovery of nerve function is uncommon in these cases.

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