We present a case of a low energy penetrating neck injury with only facial nerve (FN) palsy in the clinical finding. A 32-year-old\nmale patient was admitted to the emergency department with a penetrating injury on the right side of the neck just behind the\nright ear, accompanied by evident right (FN) palsy, evaluated as House Brackmann grade IV. Computed tomography demonstrated\nan isolated soft tissue injury in the right retroauricular region without bone fracture, parotid gland lesion, or vascular\nstructure involvement. The FN palsy was treated with corticosteroids (CS), and the patient had an uneventful and complete\nrecovery. This case report presents an unusual mechanism of isolated, extratemporal, blunt injury of the FN after a penetrating\nneck injury followed by complete recovery.
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