| Individuals who have undergone a craniectomy have portions of their brains unprotected by bone. These individuals risk severe injury if assigned to work in an environment that contains moving equipment, falling objects, or similar hazards.
Those who have undergone surgery on their cranial nerves may have decreased sensation and movement in their mouths and the structures of the face and require certain restrictions and accommodations. For example, individuals with decreased sensation of the facial skin may have difficulty judging the severity of temperatures and be at risk for frostbite or severe sunburn if working outdoors. Individuals experiencing chronic pain as a result of damage to the cranial nerves during neurological surgery may have difficulty maintaining the level of concentration required of their pre-surgery assignment. Individuals with damage to the facial nerve during removal of an acoustic neuroma may not be able to completely close their eyes on the affected side and would be ill suited for environments that involve dust and other irritating particles or fumes. Individuals left with balance problems after surgical removal of an acoustic neuroma may require transfer to a sedentary job.
Individuals with surgery on the glossopharyngeal nerve may have a decreased gag reflex and difficulty swallowing (dysphagia). This situation requires a well-developed safety program with an emphasis on emergency care for a choking individual. Individuals may also have trouble making certain sounds and being easily understood over the telephone. |
Source: Medical Disability Advisor