{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T06:39:03Z","timestamp":1769409543129,"version":"3.49.0"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Sage Open Medical Case Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>We report an uncommon case of transient Bell\u2019s 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.<\/jats:p>","DOI":"10.1177\/2050313x251411522","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T16:03:52Z","timestamp":1767888232000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ringing the Bell\u2019s: A Mohs complication worth listening to \u2013 A case report"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9210-6719","authenticated-orcid":false,"given":"Abigail","family":"Beard","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, HCA Florida Lawnwood Hospital, Fort Pierce, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivie","family":"Obeime","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Larkin Community Hospital, South Miami, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Don","sequence":"additional","affiliation":[{"name":"Florida Academic Dermatology Center, Coral Gables, FL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000375"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/DSS.0000000000003579"},{"issue":"10","key":"e_1_3_2_4_2","first-page":"1295","article-title":"Transient facial nerve paralysis after dermatologic surgery: a case series and review of the literature","volume":"43","author":"Majerowski E","year":"2017","unstructured":"Majerowski E, Olasz E, Bruce AJ. Transient facial nerve paralysis after dermatologic surgery: a case series and review of the literature. Dermatol Surg 2017; 43(10): 1295\u20131299.","journal-title":"Dermatol Surg"},{"issue":"1","key":"e_1_3_2_5_2","article-title":"Transient facial nerve palsy after lidocaine injection for ear laceration","volume":"13","author":"Vasandani AG","year":"2021","unstructured":"Vasandani AG, Jagannathan S, Blevins A. Transient facial nerve palsy after lidocaine injection for ear laceration. Cureus 2021; 13(1): e12645.","journal-title":"Cureus"},{"issue":"4","key":"e_1_3_2_6_2","first-page":"1210","article-title":"Temporary facial paralysis due to infiltration anesthesia for middle ear surgery","volume":"20","author":"Yilmaz M","year":"2009","unstructured":"Yilmaz M, Kinis V, Ozcan M, et al. Temporary facial paralysis due to infiltration anesthesia for middle ear surgery. J Craniofac Surg 2009; 20(4): 1210\u20131212.","journal-title":"J Craniofac Surg"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cden.2009.12.003"},{"issue":"7","key":"e_1_3_2_8_2","first-page":"785","article-title":"Mohs micrographic surgery of the ear: a review of 420 cases","volume":"40","author":"Knackstedt T","year":"2014","unstructured":"Knackstedt T, Jellinek NJ. Mohs micrographic surgery of the ear: a review of 420 cases. Dermatol Surg 2014; 40(7): 785\u2013794.","journal-title":"Dermatol Surg"}],"container-title":["Sage Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251411522","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X251411522","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X251411522","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T20:36:50Z","timestamp":1769373410000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X251411522"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":7,"alternative-id":["10.1177\/2050313X251411522"],"URL":"https:\/\/doi.org\/10.1177\/2050313x251411522","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"value":"2050-313X","type":"print"},{"value":"2050-313X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"2050313X251411522"}}