Objective: To analyze clinical outcomes of delayed facial palsy after head trauma in the pediatric population. Methods: A total of 45 pediatric cases with delayed facial palsy after head trauma were conservatively or surgically treated in our hospital between January 2009 and January 2015, and they were followed up for one year after the corresponding treatment. The clinical data were collected and the outcomes of facial nerve were analyzed. Results: During the one-year follow-up, 33 cases (82.5%) completely recovered, and 5 cases (12.5%) recovered to Grade II among the 40 cases accepting conservative treatment. For the 5 surgically treated cases, 4 cases (80.0%) recovered to Grade I or Grade II, and one case recovered to Grade III. Conclusion: The outcomes of pediatric delayed facial palsy after head trauma were generally satisfactory. (C) 2017 Published by Elsevier Ireland Ltd.