scholarly journals Primary Hodgkin’s lymphoma of the middle ear: A rare cause of facial nerve palsy

2017 ◽  
Vol 18 (1) ◽  
pp. 67-69 ◽  
Author(s):  
N. Maithrea ◽  
S. Periyathamby ◽  
Irfan Mohamad
Keyword(s):  
Facial Nerve ◽  
Middle Ear ◽  
Hodgkin’S Lymphoma ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Hodgkin's Lymphoma

Primary middle-ear lymphoma in a child

2003 ◽  
Vol 117 (3) ◽  
pp. 205-207 ◽  
Author(s):  
Emer E. Lang ◽  
Rory M. Walsh ◽  
Mary Leader
Keyword(s):  
Hearing Loss ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Middle Ear ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Conductive Hearing Loss ◽  
Motor Neurone ◽  
Hodgkin's Lymphoma ◽  
Conductive Hearing

The case of a five year old boy who presented with a lower motor neurone facial nerve palsy secondary to primary non-Hodgkin’s lymphoma (NHL) of the middle ear is discussed. Any child who presents with a facial nerve palsy and conductive hearing loss requires thorough evaluation to exclude the possibility of temporal bone malignancy.

Hearing loss

2018 ◽  
Author(s):  
James Ramsden
Keyword(s):  
Hearing Loss ◽  
Facial Nerve ◽  
Middle Ear ◽  
Cranial Nerve ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Conductive Hearing Loss ◽  
Ear Canal ◽  
Eighth Cranial Nerve ◽  
Conductive Hearing

Hearing loss must be divided into conductive hearing loss (CHL) and sensorineural hearing loss (SNHL). CHL is caused by sound not reaching the cochlear (abnormality of the ear canal, tympanic membrane, middle ear, or ossicles), whereas SNHL is a condition affecting the cochlear or auditory (eighth cranial) nerve. Hearing loss may be accompanied by other cardinal signs of ear disease, such as pain or discharge from the ear, vertigo, facial nerve palsy, and tinnitus, which guide the diagnosis. This chapter describes the approach to the patient with hearing loss.

Middle-Ear Paraganglioma Masquerading as Traumatic Facial Nerve Palsy With 1 color plate

ORL ◽  
1991 ◽  
Vol 53 (3) ◽  
pp. 177-179 ◽  
Author(s):  
Etsuo Yamamoto ◽  
Masaki Ohmura ◽  
Michio Isono ◽  
Yoshinobu Hirono ◽  
Chikashi Mizukami
Keyword(s):  
Facial Nerve ◽  
Middle Ear ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Color Plate

Facial nerve palsy secondary to middle-ear lipoma

2008 ◽  
Vol 122 (6) ◽  
Author(s):  
A V Kasbekar ◽  
N Donnelly ◽  
P Axon
Keyword(s):  
Facial Nerve ◽  
Middle Ear ◽  
Facial Palsy ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Fatty Tissue ◽  
Early Imaging ◽  
Horizontal Portion ◽  
Tomography Scan ◽  
Middle Ear Cleft

AbstractObjective:We present the first reported case of a middle-ear lipoma presenting with facial nerve palsy. We review the available literature on middle-ear lipomas and alert the surgeon to the possibility of a lipoma occurring in this location.Case report:A 33-year-old man presented to our unit with a right-sided, House–Brackmann grade two, lower motor neurone facial palsy. A computed tomography scan revealed abnormal soft tissue in the epitympanic recess, extending to the region of the geniculate ganglion. At middle-ear exploration, a lump of fatty tissue was found filling the anterior middle-ear cleft, juxtaposed to the horizontal portion of the facial nerve. The patient's facial palsy resolved within a few weeks of surgery.Conclusion:Lipomas are a rare but real differential diagnosis of a mass in the middle ear. Early imaging is advised.

scholarly journals Case Report: Case report: A rare case of middle-ear Rhabdomyosarcoma in a 4-year-old boy

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 1734
Author(s):  
Richard Menzies-Wilson ◽  
Gentle Wong ◽  
Prodip Das
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Middle Ear ◽  
Rare Case ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Excisional Biopsy ◽  
Embryonal Rhabdomyosarcoma ◽  
Aural Polyp ◽  
The Right

We present a rare case of a four-year-old boy with a botyroid embryonal rhabdomyosarcoma of the right middle ear. Rhabdomyosarcoma is a soft tissue malignancy which is thought to originate from embryonic mesenchymal cells of striated skeletal muscle.  It is a disease primarily of children and is exceptionally rare in parameningeal regions.  The diagnosis is often delayed and easily misdiagnosed as aural polyp. Therefore, advanced disease is common at the time of diagnosis.  A four-year-old boy presented with a four-month history of recurrent left ear blood and pus discharge, otalgia and fevers. He attended his GP three times and paediatric A&E 13 times where he received antibiotics for presumed otitis media and externa. He was eventually referred to the otolaryngology department and underwent an examination under anaesthesia of ear and excisional biopsy of a suspicious aural polyp.  Staging chest CT and PET scan showed no loco-regional spread or distal metastasis. Magnetic resonance imaging demonstrated absence of invasion into adjacent organs.  Histology confirmed embryonal rhabdomyosarcoma, botryoid subtype.  Subsequent to the initial excision of the polyp, he was started on an ifosfamine, vincristine and actinomycin (IVA) chemotherapy regime in three weekly cycles for nine cycles with concomitant radiotherapy. Two weeks subsequent to his first chemotherapy dose he presented with a House-Brackmann II-III facial nerve palsy but no other middle ear complications. He was started on intravenous antibiotics and dexamethasone. The facial nerve palsy incompletely resolved with treatment.

Reversible Peripheral Facial Nerve Palsy During Airplane Travel

2020 ◽  
Vol 91 (8) ◽  
pp. 679-681
Author(s):  
Kristina Mikuš ◽  
Katarina Ivana Tudor ◽  
Goran Pavliša ◽  
Damir Petravić
Keyword(s):  
Facial Nerve ◽  
Middle Ear ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Brain Magnetic Resonance Imaging ◽  
Pressure Change ◽  
Developmental Venous Anomaly ◽  
Facial Paresis ◽  
Nasal Decongestants ◽  
Peripheral Facial Nerve Palsy

BACKGROUND: Facial baroparesis is reversible palsy of the facial nerve that may occur due to a pressure change in the middle ear when ascending in an airplane or during scuba diving. The objective is to present a rare case of facial paresis during airplane travel.CASE REPORT: We report a 49-yr-old female patient who presented with a 30-min episode of transient right facial paresis with loss of taste during airplane travel. Brain magnetic resonance imaging (MRI) showed a small left parietal developmental venous anomaly, extensive inflammation of the paranasal sinuses, which were almost completely obstructed with thickened mucosa and mastoid cell secretion bilaterally. Nasal decongestants and antibiotics were prescribed. No new neurological signs or symptoms were noticed.DISCUSSION: Reversible facial baroparesis due to the pressure change in the middle ear should be considered in cases where present medical history includes ascent/airplane takeoff or prolonged diving and should not be mistaken for transitory ischemic attack.Mikuš K, Tudor KI, Pavliša G, Petravić D. Reversible peripheral facial nerve palsy during airplane travel. Aerosp Med Hum Perform. 2020; 91(8):679–681.

scholarly journals Carcinoma Middle Ear with Facial Nerve Palsy and Temporal Lobe Abscess

2013 ◽  
Vol 4 (2) ◽  
pp. 49-51
Author(s):  
M Alamgir Chowdhury ◽  
SM Golam Rabbani ◽  
Md. Asaduzzaman ◽  
Mousumi Malakar
Keyword(s):  
Squamous Cell Carcinoma ◽  
Facial Nerve ◽  
Cell Carcinoma ◽  
Temporal Lobe ◽  
Middle Ear ◽  
Squamous Cell ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Rare Condition ◽  
Suppurative Otitis Media

Carcinoma of middle ear is very rare condition being one in 20,000 new patients. The commonest primary middle ear malignancy is usually squamous cell carcinoma. A 36-year-male presented with right sided severe earache with blood stained aural discharge, associated with headache and deviation of angle of the mouth to the opposite side. He had ear discharge since childhood. On examination he had bleeding polypoidal mass in the right external auditory canal & tympanic membrane was not visualized. He also had features of facial nerve palsy. CT scan of brain finding was chronic right mastoiditis & right temporal lobe abscess causing significant mass effect. The patient was undergone Burr-hole operation. After 2 weeks right radical mastoidectomy was done. There was huge granulation tissue involving middle ear, attic & mastoid antrum and ossicles was eroded. Histopathology report revealed infiltrating squamous cell carcinoma grade-I. The patient was sent for radiotherapy & asked for follow up monthly. In long standing chronic suppurative otitis media with blood stained discharge & facial nerve palsy, middle ear malignancy should be suspected. Anwer Khan Modern Medical College Journal Vol. 4, No. 2: July 2013, Pages 49-51 DOI: http://dx.doi.org/10.3329/akmmcj.v4i2.16943

Delayed Facial Nerve Palsy after Middle Ear Surgery

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P54-P54
Author(s):  
Panagiotis N Papanikolaou ◽  
John E Xenelis ◽  
Thanos Bibas ◽  
John V Sengas
Keyword(s):  
Facial Nerve ◽  
Middle Ear ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Chronic Otitis Media ◽  
Middle Ear Surgery ◽  
Nerve Function ◽  
Facial Nerve Function ◽  
Ear Surgery ◽  
Profound Hearing Loss

Objective 1) Report the incidence and outcome of delayed facial nerve palsy following middle ear surgery in our department, and 2) review the medical literature. Methods This is a retrospective chart review study of 833 patients who were operated for chronic otitis media with cholesteatoma (572 patients), otosclerosis (192 patients), and profound hearing loss who received a cochlear implant (68 patients) since 1993. Results Delayed facial nerve palsy was observed in 10 patients (1.2%). In all cases, immediate postoperative facial nerve function was normal and the palsy occurred 5 to 8 days postoperatively. Facial nerve function recovered in all patients within 6 months. Assessment and management issues are discussed. Conclusions Delayed facial nerve palsy may rarely occur following middle ear surgery and has an excellent recovery rate.

Benign Adenoma of the Middle Ear Cavity Causing Facial Paralysis

1981 ◽  
Vol 89 (4) ◽  
pp. 624-628 ◽  
Author(s):  
Gerald D. Zahtz ◽  
Benjamin Zielinski ◽  
Allan L. Abramson
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Chronic Otitis Media ◽  
Complete Recovery ◽  
Radical Mastoidectomy ◽  
First Case ◽  
Benign Adenoma

The otologic surgeon infrequently encounters tumors confined to the middle ear cavity. A 30-year-old man had a right facial nerve palsy that was believed to be secondary to chronic otitis media. At surgical exploration, an adenoma of the middle ear involving the ossicles and overlying the facial nerve was found, a radical mastoidectomy performed, and subsequent complete recovery of the facial nerve noted. To our knowledge, this is the first case of a middle ear benign adenoma causing a facial paralysis and the pathology, cause, and differential diagnosis will be discussed.

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