Ringing the Bell’s: A Mohs complication worth listening to – A case report

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Authors: Abigail Beard, Ivie Obeime, Frank Don
Cited by: 0
References: 3

Abstract

We report an uncommon case of transient Bell's palsy-like facial paralysis following local anesthesia during Mohs micrographic surgery of the left conchal bowl. The temporary complication resolved spontaneously without intervention and is suspected to have resulted from anesthetic diffusion to the facial nerve via the tragal region. This case highlights the importance of understanding facial nerve anatomy during procedures in the auricular area and the need to counsel patients regarding rare but benign complications of local anesthesia.

Fields of Study & Subjects

Facial Nerve Paralysis Treatment and Research Trigeminal Neuralgia and Treatments Ear Surgery and Otitis Media

Publication details

Journal / source
SAGE Open Medical Case Reports
Volume
14
Pages
2050313X251411522–2050313X251411522
Publication date
1 January 2026
Language
EN