A Case Report on Ayurvedic Management of Delayed Sequel of Post-Traumatic Facial Nerve Synkinesis

Abstract

Facial nerve injury following temporal bone fracture can lead to long-term complications such as synkinesis due to aberrant nerve regeneration. These sequels may manifest years after apparent recovery. Case Presentation: We report a 35-year-old male software engineer with a history of road traffic accident–related left temporal bone fracture and left lower motor neuron facial palsy in 2018, which had improved with conservative management. Eight years later, he presented with recurrent involuntary blinking of the left eye associated with mild left upper eyelid drooping, exacerbated by sleep deprivation. Clinical evaluation suggested post-paralytic facial nerve synkinesis with mild ptosis (House–Brackmann grade II). The condition was well managed by Ayurvedic modalities adopted from Ardita chikitsa. Conclusion: This case highlights the importance of long-term follow-up in facial nerve injuries, as delayed synkinesis can significantly affect quality of life. Early recognition and appropriate management, including lifestyle modification can improve functional and cosmetic outcomes.