Facial nerve palsy as a complication of ear syringing

2012 ◽  
Vol 126 (7) ◽  
pp. 714-716 ◽  
Author(s):  
A M Thomas ◽  
B Poojary ◽  
H C Badaridatta

AbstractIntroduction:Syringing of the ear is one of the most common procedures performed for cleaning cerumen from the external auditory canal. Common complications following syringing are pain, external auditory canal trauma and otitis externa. Hearing and vestibular loss have also been reported as complications. However, we are unaware of any report of facial nerve palsy as a complication of ear syringing. Such a case is reported.Case presentation:We describe a case of facial nerve palsy as a complication of syringing, which demonstrates the dramatic presentation of this condition and emphasises the need for great care while syringing the ears.Conclusion:It is important to be aware of this unusual complication with its distinctive presentation. Surgical intervention should be undertaken at the earliest opportunity, for favourable results. A risk-minimising strategy for ear syringing is recommended.

2015 ◽  
Vol 46 (2) ◽  
pp. 109-110
Author(s):  
Rushad Patell ◽  
Rupal Dosi ◽  
Rikin Raj ◽  
Shreyans Doshi

Neurosurgery ◽  
2017 ◽  
Vol 83 (4) ◽  
pp. 740-752 ◽  
Author(s):  
Sampath Chandra Prasad ◽  
Melissa Laus ◽  
Manjunath Dandinarasaiah ◽  
Enrico Piccirillo ◽  
Alessandra Russo ◽  
...  

Abstract BACKGROUND Intrinsic tumors of the facial nerve are a rare entity. Dealing with this subset of tumors is challenging both in terms of decision making and surgical intervention. OBJECTIVE To review the outcomes of surgical management of facial nerve tumors and cable nerve graft interpositioning. METHODS A retrospective analysis was performed at a referral center for skull base pathology. One hundred fifteen patients who were surgically treated for facial nerve tumors were included. In case of nerve interruption during surgery, the cable nerve interpositioning technique was employed wherein the facial nerve palsy lasted for less than 1-yr duration. In cases of facial nerve palsy lasting for greater than 1 yr, the nerve was restituted by a hypoglossal facial coaptation. RESULTS Various degrees of progressive paralysis were seen in 84 (73%) cases. Sixty nine (60%) of the tumors involved multiple segments of the facial nerve. Sixty-two (53.9%) tumors involved the geniculate ganglion. Seventy four (64.3%) of the cases were schwannomas. Hearing preservation surgeries were performed in 60 (52.1%). Ninety one (79.1%) of the nerves that were sectioned in association with tumor removal were restituted primarily by interposition cable grafting. The mean preoperative House-Brackmann grading of the facial nerve was 3.6. The mean immediate postoperative grading was 5.4, which recovered to a mean of 3.4 at the end of 1 yr. CONCLUSION In patients with good facial nerve function (House-Brackmann grade I-II), a wait-and-scan approach is recommended. In cases where the facial nerve has been interrupted during surgery, the cable nerve interpositioning technique is a convenient and well-accepted procedure for immediate restitution of the nerve.


2010 ◽  
Vol 5 (7) ◽  
pp. E6-E8 ◽  
Author(s):  
John Roberts ◽  
Línea Larson-Williams ◽  
Farrah Ibrahim ◽  
Ali Hassoun

2006 ◽  
Vol 120 (9) ◽  
pp. 784-785 ◽  
Author(s):  
F Glynn ◽  
I J Keogh ◽  
H Burns

Keratosis obturans is characterized by the accumulation of desquamated keratinous material in the bony portion of the external auditory canal. Classically, it is reported to present with severe otalgia, conductive hearing loss and global widening of the external auditory canal. Extensive erosion of the bony meatus, with exposure of the facial nerve, has been previously reported, but no case of facial nerve palsy has as yet been published. We report the first published case, to our knowledge, of a unilateral facial nerve palsy secondary to neglected keratosis obturans.


Author(s):  
Qasem Buhaibeh ◽  
Sulaiman Madad ◽  
Tawfik Dhaiban

Anotia is the severe form of microtia anomalies that involve pinna and external auditory canal  present at birth is rare to be associated with congenital facial nerve palsy. The author reports a man with Right side Anotia and ipsilateral facial nerve palsy. This is rare report of such an association in adult patient had right Anotia and ipsilateral right facial palsy.


2006 ◽  
Vol 22 (6) ◽  
pp. 562-566 ◽  
Author(s):  
Andrea Klein ◽  
Bettina Balmer ◽  
Ulrike Brehmer ◽  
Thierry A. G. M. Huisman ◽  
Eugen Boltshauser

Author(s):  
Jonathan P. Wyatt ◽  
Robin N. Illingworth ◽  
Colin A. Graham ◽  
Kerstin Hogg ◽  
Michael J. Clancy ◽  
...  

Ear, nose, and throat foreign bodies 546 Ear examination 548 Vertigo 549 Cochlear implants 549 Earache 550 Epistaxis 552 Nasal fracture 553 Sore throat 554 Facial nerve palsy 556 Salivary gland problems 557 Dental emergencies 558 All sorts of FBs may become lodged in the external auditory canal, including insects, vegetable matter, and various inert objects. The patient may present with pain, deafness, discharge or, in the case of live insects, an irritating buzzing in one ear....


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