[Facial nerve lesions in gunshot injuries of the temporofacial region].

Experiences and difficulties in the preoperative diagnostics and treatment of facial nerve lesions concerning nine injuries of the temporofacial region caused by firearms projectiles are presented. Otosurgery treatment of the damaged nerve occurred from the 8th to 22nd day, after the vital functions normalization and taking care of maxillofacial region injuries. Apart from facial nerve paralysis, in 7 injured cophosis occurred, but immediately after they had been injured all had vertiginous disorders. Before detecting the place of the nerve lesion complete skeletization of the fallopian tube was done. Since in four cases there was a complete disconnection of the facial nerve distally from stylomastoid foramen, authors point to the importance of nerve exploration in this segment. In all cases development of connective tissue was expressed just like granulation of mastoid cells and cavum, and in 4 injured there are clear signs of infection at the place of nerve lesion, so that there is a need to perform the operation as early as possible.