Acute Otitis Media and Facial Paralysis in Children

1996 ◽  
Vol 105 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Clark A. Elliott ◽  
George H. Zalzal ◽  
Wendy R. Gottlieb
Keyword(s):  
Facial Nerve ◽  
Otitis Media ◽  
Facial Paralysis ◽  
Acute Otitis Media ◽  
Complete Recovery ◽  
Rapid Improvement ◽  
Nerve Decompression ◽  
Complete Paralysis ◽  
Prolonged Recovery ◽  
Facial Nerve Decompression

We reviewed 10 children who presented with facial paralysis after the onset of acute otitis media. The objective of the study was to examine the outcome of facial paralysis in children with acute otitis media treated without facial nerve decompression. Two groups were identified: 8 patients with incomplete paralysis and 2 with complete paralysis. Seven of the 8 patients with incomplete paralysis had rapid return of function after myringotomy and intravenous antibiotics. The eighth patient had delayed recovery requiring 9 months before complete return of function. The 2 patients with complete paralysis required mastoidectomy to control otorrhea and fever after initial myringotomy and antibiotics. Both patients had a prolonged recovery requiring 3 and 7 months for complete recovery. Patients with incomplete paralysis generally show rapid improvement following wide myringotomy and antibiotic treatment. A more protracted recovery may be expected in patients with complete paralysis; excellent return of function is expected when mastoidectomy without facial nerve decompression is employed.

FACIAL PARALYSIS IN CHILDREN

PEDIATRICS ◽  
1972 ◽  
Vol 49 (1) ◽  
pp. 102-109
Author(s):  
John J. Manning ◽  
Kedar K. Adour
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Age Groups ◽  
Bell’S Palsy ◽  
Bell's Palsy ◽  
Specific Therapy ◽  
Nerve Decompression ◽  
Facial Nerve Decompression

In any instance of facial paralysis in a child, an effort should be made to determine immediately whether it is caused by a specific, treatable entity. Of 61 cases of facial paralysis in children seen in a Facial Paralysis Clinic, 38% were not Bell's palsy. Eight of the 61 children had disease amenable to specific therapy available today. Experience with 504 patients of all age groups seen within 4 years has led the authors to abandon facial nerve decompression in the treatment of Bell's palsy.

Evaluation of Patients Treated by Facial Nerve Decompression via Transmastoid Approach for Traumatic Facial Paralysis

2013 ◽  
Vol 149 (2_suppl) ◽  
pp. P225-P225
Author(s):  
Ju Hyoung Lee ◽  
Joo Hyun Jung ◽  
Chang-Hyun Cho ◽  
Bokyung Kwak ◽  
Youn Hee Ju
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Nerve Decompression ◽  
Facial Nerve Decompression ◽  
Transmastoid Approach

Total Facial Nerve Decompression for Recurrent Facial Paralysis: An Update

1989 ◽  
Vol 101 (4) ◽  
pp. 442-444 ◽  
Author(s):  
Malcolm D. Graham ◽  
Jack M. Kartush
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Bell’S Palsy ◽  
Rare Disorder ◽  
Bell's Palsy ◽  
Nerve Decompression ◽  
The Past ◽  
Salutary Effect ◽  
Facial Edema ◽  
Facial Nerve Decompression

Recurrent facial paralysis (RFP) is a rare disorder that in some individuals may lead to worsening sequelae. Melkersson-Rosenthal syndrome is a variant of RFP that is associated with recurrent facial edema. In the past, decompression of the mastoid segment of the facial nerve has not been successful in preventing recurrences. In 1981 we began performing total facial nerve decompression for RFP and in 1986 reported its efficacy in one patient with Melkersson-Rosenthal syndrome and in another in whom both nerves were decompressed for alternating bilateral paralysis. An additional four cases with 3 to 8 years of followup demonstrate no recurrences in any patient. Total facial nerve decompression for RFP in selected patients appears efficacious in preventing recurrences. Decompression will remain investigational until further followup is obtained. Furthermore, its salutary effect should not be extrapolated to Bell's palsy without further Study.

scholarly journals The Art of Otology

1955 ◽  
Vol 48 (4) ◽  
pp. 253-262 ◽  
Author(s):  
Josephine Collier
Keyword(s):  
Facial Nerve ◽  
Otitis Media ◽  
Facial Paralysis ◽  
Military Service ◽  
Acute Otitis Media ◽  
Clinical Problem ◽  
Constant Current ◽  
Suppurative Otitis Media ◽  
Hospital Patients ◽  
Nerve Surgery

Management of chronic ear infections dependent on recognition of the differences (pathological and clinical) between tympano-tubal lesions and attico-antral disease. Chronic suppurative otitis media as a reason for rejection for military service. Statistics obtained from the Ministry of Labour and National Service. Relative incidence of tympanic and attico-antral disease in a series of 500 hospital patients at the present time. Resistant chronic tympanic disease still a problem. Relation to acute suppurative otitis media. Recurrent and relapsing attacks of acute otitis media. Does early chemotherapy interfere with development of immunity? Problems presented by acute otitis media likely to be elucidated by the general practitioner rather than by the otologist. The general practitioner's opportunities for research in this clinical problem. Incidence of ear diseases in average general practice. Training of medical students in diseases of the ear, nose and throat. Methods of instruction followed in the teaching schools of Great Britain and Northern Ireland and attitude of the Examining Bodies to this subject. The contribution of otologists to the education of doctors. Some observations on facial paralysis. Importance of prognosis. Different criteria in early and late stages of paralysis. Reasons for abandoning the faradic-galvanic tests in the management of facial paralysis. Use of constant current square pulse stimulators in early days of facial paralysis. Electromyography of value in later stages. Present-day difficulties in acquiring skill for facial nerve surgery. Importance of the stylomastoid artery. Recent investigations on the blood supply of the facial nerve: Gross vascular pattern and the interfascicular plexus. Further work necessary to relate these anatomical facts to the condition of Bell's palsy.

Sign in / Sign up

Export Citation Format

Share Document