![]() Other signs of temporal bone fracture include: Importantly, any facial nerve palsy immediately after injury is likely as a result of direct damage to the nerve and has a low chance of recovery (delayed onset facial nerve palsy post-trauma is more likely to represent a neuropraxia, secondary to tissue oedema). *A more clinically useful categorisation would be classification relating to otic capsule involvement involvement of the otic capsule carries an increased risk of permanent sensorineural hearing loss, facial nerve palsy, and CSF leakĬlinical signs suggesting a temporal bone fracture should be assessed for, perhaps the most important of which is facial nerve injury.
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