Management of traumatic facial nerve disor-ders is challenging. Facial nerve decompres-sion is indicated if 90–95% loss of function is seen at the very early period. A thorough knowledge on diagnosis, treatment and prog-nosis of facial nerve injuries is essential. Treatment of facial nerve injuries depends on two principal factors : onset of facial weak-ness (acute or delayed) and extent of facial weakness. Transmastoid approach is suit-able for patients whose nerve injury lies distal to geniculate ganglion. The aim of this study is to present retrospective re-view of 6 patients with facial paralysis after trauma who underwent facial nerve decom-pression via the transsmastoid approach be-tween 2011 to 2013. Good recovery of fa-cial nerve function was observed in 5 out of the 6 patients after surgical decompres-sion with post operative HB grade I /II .