Acute Otitis Media and Facial Nerve Paralysis in Adults

Zinis, Luca Oscar Redaelli de; Gamba, Paolo; Balzanelli, Cristiano

doi:10.1097/00129492-200301000-00022

Cited by 44 publications

(14 citation statements)

References 8 publications

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“…However, in our material, only one patient with facial paralysis had COM but none had cholesteatoma. We agree with the recent recommendations, 9,21 that otogenic facial paralysis should be treated as conservatively as possible. Mastoidectomy should be performed only when it is necessary for the treatment of OM and its complications or when the facial paralysis is total and there are no signs of early recovery.…”

Section: Discussionsupporting

confidence: 83%

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Acute complications of otitis media in adults

Leskinen

Jero

2005

Clinical Otolaryngology

100

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Section: Discussionsupporting

confidence: 83%

“…Severe complications of OM are rare today and only few studies 9,10 focusing on the adult patients with intratemporal or intracranial complications of OM has been published recently. Although the material in this study is small, it gives a good general view on the subject.…”

Section: Discussionmentioning

confidence: 99%

Acute complications of otitis media in adults

Leskinen

Jero

2005

Clinical Otolaryngology

100

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“…The incidence reported in the current study is much higher than the western literature (about 0.02%) [16,17] . This could be attributed to antibiotic abuse and over the counter drugs, a common problems in our country.…”

Section: Discussioncontrasting

confidence: 73%

Facial Nerve Paralysis as A Complication of Acute Otitis Media

Ramadan

Elsaied

Hassan

2021

International Journal of Medical Arts

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Background: Facial nerve paralysis is not a very frequent association with acute otitis media (AOM). The pathophysiology and treatment of this condition still under debate.Aim of the Work: to review the treatment strategies and extent of recovery in patients with facial nerve paralysis after AOM. Patients and Methods:The study was a retrospective study. Authors reviewed a total of 4710 cases of AOM seen during the period form 2010 to 2020. Fourty cases developed facial nerve paralysis. All were reviewed for epidemiological data and clinical assessment. Facial palsy was graded by House-Brackmann scale. All patients were treated with antibiotics combined with oral or intravenous corticosteroids. Myringotomy with or without application of a ventilation and mastoidectomy without decompression of the facial nerve were performed in selected cases.Result: Normal facial function was resumed to normal in all patients. The paralysis was mainly of acute onset (90.0%) and otorrhea reported among 12.5%. The initial paralysis grade was mainly grade IV (41.3%) followed by grade III (26.3%). The topography was mainly infrageniculate (86.3%). A collected material for bacteriology was reported for 40.0%, and 53.1% of them had negative culture. The most common detected organism was staphylococcus aureus (18.8%). Myringotomy was done for 7.5%, aspiration for 10.0% and Mastoidectomy for 10.0%. The overall outcome was good among 90.0% and bad among 10.0%. The duration for complete cure in cases with good outcome not exceeded 3 months. Only lower initial grade on House-Brackmann scale and infrageniculate topography were associated with favorable outcome. Conclusion:The management of facial nerve paralysis due to acute otitis media could be conservative by antibiotics with corticosteroids.

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“…Recovery in Bell's Palsy is variable, whereas the majority completely recover; however, some patients develop permanent defacing (4). Old age (1), uncontrolled hypertension (5), dysgeusia (6), and complete paralysis (7) are considered the worst prognostic factors. Bell's Palsy rarely involves both sides of face.…”

Section: Introductionmentioning

confidence: 99%

Steroids with and Without Antivirals in the Treatment of Bell’s Palsy: Does It Make any Difference in Recovery? A Study at a Tertiary Care Center, Karachi, Pakistan

et al. 2021

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Objectives: To compare the pharmacological effects of steroids in comparison to steroids with antiviral drugs for the treatment of Bell’s Palsy. Methods: A total 60 patients were enrolled and segregated equally into two groups, where patients on prednisolone were labeled as group A (Control group), whereas patients on prednisolone + acyclovir were labeled as group B (study group). All patients had House Brackmann score. The control group started oral prednisolone 1 mg/kg for 10 days, whereas the study group started acyclovir 400 mg 4 times a day for 10 days along with prednisolone tablets. Patients were regularly observed till the study was completed. Primary outcome measure was facial nerve recovery. Health-related quality of life and facial appearance were considered secondary outcomes. Results: The primary outcomes assessed as complete recovery from Bell’s Palsy by Brackmann score at week 4 were found in 17/30 (57%) patients and 23/30 (77%) patients at week 8 in the control group. Complete recovery from Bell’s Palsy was also shown in the experimental group (Prednisolone + acyclovir) where 25/30 (83%) patients completed recovery at week 4, while 27/30 (90%) patients at week 8. Comparison of the two groups showed a significant improvement in the study group (prednisolone + acyclovir) (P = 0.047) at week 4 and (P = 0.02) at week 8. The secondary outcomes were assessed as improvement in the quality of life and facial appearance from Bell’s Palsy. Health utility score was 0.84 ± 0.01 in the control group (On prednisolone) with facial appearance score of (Derriford appearance scale 59) 61 ± 28. At week 4, the study group (on prednisolone+ acyclovir) showed 0.88 ± 0.12 score on Health utility index scale-3 and 46 ± 26 score on Derriford appearance scale. Comparison of the quality of life (Health quality index scale-3) and facial appearance among both control and study groups showed a significant improvement in the study group (P = 0.001 and P = 0.005, respectively). Moreover, when health utility score and Derriford appearance were compared among both groups, it showed a significant improvement in the study group (P = 0.001 and 0.016, respectively). Conclusions: The combination of prednisolone with acyclovir is found superior to prednisolone alone, and this combination treatment results in improvement in both recovery and quality of life.

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Acute Otitis Media and Facial Nerve Paralysis in Adults

Cited by 44 publications

References 8 publications

Acute complications of otitis media in adults

Acute complications of otitis media in adults

Facial Nerve Paralysis as A Complication of Acute Otitis Media

Steroids with and Without Antivirals in the Treatment of Bell’s Palsy: Does It Make any Difference in Recovery? A Study at a Tertiary Care Center, Karachi, Pakistan

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