Thakar A, et al. - The results of non-surgical treatment for post-traumatic complete facial paralysis with undisplaced temporal bone fractures and unfavorable electrophysiologic features were determined. Non-surgical treatment led to near-universal recovery to House-Brackmann grade I/II for non-displaced temporal bone fractures and was superior to the reported surgical results. Recovery was noted to be delayed and usually manifest at 8-12 weeks following the fracture. In the current era of high-resolution computed tomography for non-displaced longitudinal temporal bone fractures related to complete facial nerve paralysis and unfavorable electrophysiologic features, surgical exploration should not be first-line treatment.