Facial nerve paralysis otitis

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Acute otitis media and facial nerve paralysis in adults

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Acute otitis media and facial nerve paralysis in adults

Objective: The pathophysiology and treatment of facial nerve paralysis associated with acute otitis media are still under debate. 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. Study design: Retrospective chart review. Setting: University hospital, tertiary referral center. Patients: Between and , 11 patients were admitted for facial nerve paralysis secondary to acute otitis media. 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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Arch Otolaryngol Head Neck Surg. Objective To compare the characteristics and prognosis of patients with malignant necrotizing external otitis MEO with and without facial nerve palsy in today's era of third-generation antibiotics. Patients Forty-eight patients with MEO diagnosed and treated from to Eight had facial paralysis and 40 had normal facial nerve function. Main Outcome Measures Clinical, laboratory, and imaging findings and survival.
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Try out PMC Labs and tell us what you think. Learn More. Facial paralysis is a rare complication of acute suppurative otitis media which requires early detection and appropriate care. We hereby report a case which we managed conservatively with good outcome. Following our experience and review of literature on the subject, antibiotic therapy and corticosteroid therapy, with or without myringotomy were found to be the first-line procedures.
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