Otitis media facial paralysis

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Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. We would like to highlight this complication of acute otitis media, a common paediatric complaint.

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The objective of this study was to review treatment strategies and extent of recovery in adult patients with the aim of defining a standard treatment protocol for this rare pathologic condition. There were six women and five men without a history of chronic middle ear disease, who ranged in age from 21 to 71 years. Bacteriologic examination of middle ear fluid was performed in four patients Streptococcus pneumoniae was observed in one patient, and the remaining three cultures were negative.

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Facial paralysis associated with acute otitis media. Send correspondence to. Acute otitis media with facial paralysis is not a very frequent association.

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Facial nerve paresis is a known complication of middle ear disease. However it is more commonly seen as a complication of chronic otitis media as compared to acute otitis media AOM. There are very few reported cases of AOM leading to facial palsy and even fewer ones of bilateral acute otitis media leading to bilateral facial palsy. Since this is a very rare presentation its management and treatment are not very well outlined as per standard guidelines.

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Arch Otolaryngol Head Neck Surg. Eight had facial paralysis and 40 had normal facial nerve function. Computed tomography indicated a more progressive disease in patients with facial nerve involvement.

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Facial nerve paralysis is a common problem that involves the paralysis of any structures innervated by the facial nerve. The pathway of the facial nerve is long and relatively convoluted, so there are a number of causes that may result in facial nerve paralysis. Facial nerve paralysis is characterised by facial weakness, usually only in one side of the face, with other symptoms possibly including loss of tastehyperacusis and decreased salivation and tear secretion.

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Surgical management of facial paralysis associated with Chronic suppurative otitis media CSOM may vary depending on the duration and extent of paralysis and also the pathology affecting the nerve. Four illustrative cases are described. The literature is reviewed with regard to the management of the facial nerve in different situations.

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This term is often used inaccurately, as it refers to idiopathic facial palsy only. It is essential to rule out other conditions eg strokeand treat appropriately. If the forehead is spared, or there are other associated neurological symptoms, a central cause will be responsible.


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