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

Year: 2026

Type: article

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.

Source: SAGE Open Medical Case Reports

DOI: 10.1177/2050313x251411522

Authors: Abigail Beard, Ivie Obeime, Frank Don

Institutions: HCA Healthcare, Larkin Community Hospital, Florida Academic Dermatology Center

Language: English

Topic: Facial Nerve Paralysis Treatment and Research

Subfield: Neurology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000