Facial paralysis associated with acute otitis media

Yonamine, Fernando Kaoru; Tuma, Juliane; Silva, Rogério Fernandes Nunes da; Soares, Maria Claudia Mattos; Testa, José Ricardo Gurgel

doi:10.1016/s1808-8694(15)30782-5

Cited by 21 publications

(21 citation statements)

References 10 publications

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“…9 Because corticosteroid agents remain the best treatment for inflammatory, virally induced, immunemediated disease, we advocate their use unless contraindicated by another comorbid condition.…”

Section: Managementmentioning

confidence: 99%

A rare case of bilateral acute otitis media leading to bilateral facial paresis in an adult

Singh

Ranjit

2016

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">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. Here we have presented a very rare case of bilateral AOM leading to bilateral facial paresis, how the case progressed and how it was managed. We have tried to bring forth the salient features of the presentation, the progression and the resolution of the disease due to the successful management<span lang="EN-IN">.</span></p>

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Section: Managementmentioning

confidence: 99%

A rare case of bilateral acute otitis media leading to bilateral facial paresis in an adult

Singh

Ranjit

2016

Int J Otorhinolaryngol Head Neck Surg

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“…Systemic antibiotic therapy and systemic steroids were used, and the treatment was a success. In some cases, facial nerve decompression treatment is necessary due to unsuccessful antibiotic and steroid treatment [6,10]. In our case no facial nerve decompression treatment was needed.…”

Section: Discussionmentioning

confidence: 73%

“…Facial paralysis is a very rare complication of AOM (seen in about 1–4% of cases), and antibiotic application decreases the appearance of facial paralysis [10]. Duman et al, Viola et al, and Patigaroo et al reported ecthyma gangrenosum and AOM or externa with facial nerve palsy in healthy infants [9,11,12].…”

Section: Discussionmentioning

confidence: 99%

Ecthyma gangrenosum in a previously healthy pediatric patient and associated facial paralysis and persistent hyperplastic primary vitreous

Bucak¹,

Tümgör

Mengen

et al. 2012

Am J Case Rep

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SummaryBackground:Ecthyma gangrenosum is an infective lesion of the skin and mucosal membranes. It is most commonly caused by Pseudomonas aeruginosa, and the most important risk factors are malignancy and neutropenia. However, it has rarely been reported in children who were previously healthy. Persistent hyperplastic primary vitreous has been described as the persistence of the fetal hyaloid vascular system. Acute otitis media with facial paralysis is an infrequent association.Case Report:We report the case of a 5-month-old boy hospitalized because of fever, otorrhea and necrosis on his body. He had peripheral facial paralysis on the same side as otorrhea. Leukocoria was determined in the right eye. He had many gangrenous ulcers on the extremities and body.Conclusions:We present a previously healthy pediatric patient diagnosed with persistent hyperplastic primary vitreous, ecthyma gangrenosum (by the septicemia of P. aeruginosa), and peripheric facial paralysis (a complication of acute otitis media), admitted to hospital.

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“…However, a few patients may need surgical interventions likemyringotomywith or without ventilation tube insertion. Myringotomycan eliminate the middle ear fluid, butcortical mastoidectomy, with or without facial nerve decompression,could be considered in few cases to control this disorder.Total facial nerve paralysis(HB Grade 6), total axonal degeneration, or poor axonal regeneration rates as determined by electrophysiological studies are the indications for facial nerve decompression surgeries.Decompression surgery may be more effective when the operation is performed within 3 weeksafter the onset of FNP [12]. None of our patients needed any of these procedures because of the benign courses of their facial paralysis.…”

Section: Discussionmentioning

confidence: 92%

“…The consensus among most authors on facial nerve paralysis with acute otitis media is to use conservative treatment approaches. Broad-spectrum intravenous antibiotics must be considered as a first step [12]. Intravenously applied maximum dosage antibiotherapy may assure control of the infectious process and stop the bacterial proliferation.…”

Section: Discussionmentioning

confidence: 99%

Peripheral Facial Nerve Paralysis Secondary to Acute Otitis Media

Mutlu¹

2017

Ann Clin Anal Med

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ÖzetAmaç: Akut otitismedia çocukluk çağında oldukça sık görülen bir hastalık olmakla birlikte buna eşlik eden periferikfasiyal sinir paralizisi oldukça dramatik bir klinik durumdur. Bu çalışmada akut otitismediayasekonder gelişen fasiyal sinir paralizisinin kliniği ve yönetimi tartışılmıştır. Gereç ve Yöntem: Akut otitismedia nedeniyle kliniğimize başvuran yedi çocuk hastanın tıbbi bilgileri retrospektif olarak incelenmiştir. Bulgular: Yedi çocuğun (Yaş: 1-9 yıl; 3 kız, 4 erkek) tamamı miringotomi operasyonu geçirmiştir. Kortikosteroid ve antibiyotikler tedaviye eklenmiştir. Bütün çocuk hastalar sekelsiz iyileşmiş olup, iyileşme süreci 1 hafta ila 1 ay arasında farklılık göstermiştir(Ortalama iyileş-me suresi: 1,8 hafta). Tartışma: Akut otitismedianın seyri esnasında uygun tedaviye rağmen fasiyal paralizi gibi nadir komplikasyonlar gelişebilir. Erken tedavi bu klinik durumu yönetmek için oldukça önemlidir. Anahtar KelimelerPeriferik Fasiyal Paralizi; Akut Otitis Media; Orta Kulak Hastalıkları; Supurasyon; Timpanik Membran Abstract Aim: Acute otitis media is a common disease among children, and peripheral facial nerve paralysis secondary to acute otitis media is a dramatic clinical entity for children and parents. In this report we discuss the clinical presentation of facial nerve paralysis secondary to acute otitis media and management of this clinical issue. Material and Method: The medical histories of seven children who suffered from facial nerve paralysis secondary to acute otitis media were collected retrospectively. Results: All seven of the children(ages: 1-9 years; 4 boys, 3 girls) underwent a myringotomy operation.Corticosteroids and antibiotics were also added during the treatment. All of the children were recovered totally; the recovery period varied from a week to a month(meanrecovery time: 1.8 weeks). Discussion: Rare complications like facial nerve paralysis can be seen during the normal course of acute otitis media,despite proper treatment. Immediate treatment may help to overcome these clinical complications.

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Facial paralysis associated with acute otitis media

Cited by 21 publications

References 10 publications

A rare case of bilateral acute otitis media leading to bilateral facial paresis in an adult

A rare case of bilateral acute otitis media leading to bilateral facial paresis in an adult

Ecthyma gangrenosum in a previously healthy pediatric patient and associated facial paralysis and persistent hyperplastic primary vitreous

Peripheral Facial Nerve Paralysis Secondary to Acute Otitis Media

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