Facial Paralysis: Traumatic Neuromas Vs. Facial Nerve Neoplasms

1988 ◽  
Vol 98 (1) ◽  
pp. 53-59 ◽  
Author(s):  
Carl Snyderman ◽  
Mark May ◽  
Michael A. Berman ◽  
Hugh D. Curtin
Keyword(s):  
Differential Diagnosis ◽  
Facial Nerve ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Clinical Presentation ◽  
Neural Tissue ◽  
Diagnosis And Treatment ◽  
Radiographic Appearance ◽  
Middle Ear Disease

Traumatic neuromas (TN) are benign proliferations of neural tissue that may occur without disruption of the facial nerve. The clinical presentation, as well as the radiographic appearance, may suggest neoplastic involvement of the facial nerve. Histologically, they may closely resemble neurilemomas (Schwannomas) or neurofibromas. Three cases of TN of the facial nerve associated with facial paralysis are presented here. Unlike previously reported cases, these tumors were not associated with chronic inflammatory middle ear disease. TN must be considered in the differential diagnosis and treatment of facial paralysis.

scholarly journals Pintail Comb Injury as a Rare Cause of Penetrating Temporal Bone Trauma With Facial Paralysis

2020 ◽  
pp. 014556132096893
Author(s):  
Dylan Jacob Cooper ◽  
Stanley Pelosi
Keyword(s):  
Hearing Loss ◽  
Case Report ◽  
Facial Nerve ◽  
Tympanic Membrane ◽  
Temporal Bone ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Complete Resolution ◽  
Bone Trauma ◽  
Nerve Dysfunction

We present a case of novel penetrating temporal bone trauma with a pintail comb causing facial paralysis. We describe a 42-year-old woman with acute facial paralysis, hearing loss, and dizziness following accidental tympanic membrane puncture. The patient underwent middle ear exploration with tympanoplasty and was found to have an intact but severely edematous facial nerve. The patient demonstrated less than 90% degeneration under electroneuronography and was treated medically without decompression, and by 6 months had exhibited complete resolution of facial nerve dysfunction with normal hearing. This case report highlights a unique cause of penetrating temporal bone trauma and supports the utility of electroneuronography in predicting the likelihood of recovery and need for decompression in patients where the facial nerve has obvious signs of trauma but remains grossly intact.

Effect of surgical intervention on middle-ear cholesteatoma with associated facial paralysis

2016 ◽  
Vol 131 (2) ◽  
pp. 113-116 ◽  
Author(s):  
Y Ozkul ◽  
M Songu ◽  
K Onal ◽  
A Imre ◽  
S Arslanoglu ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Limited Area ◽  
Presenting Symptoms ◽  
Middle Ear Cholesteatoma ◽  
Grade Ii ◽  
Operative Findings ◽  
Grade Iii

AbstractObjectives:To investigate the presenting symptoms, intra-operative findings and long-term facial nerve function in patients treated for cholesteatoma with associated facial paralysis.Methods:Fifteen patients with facial paralysis due to middle-ear cholesteatoma who underwent tympanomastoidectomy surgery from February 2000 to February 2015 were retrospectively reviewed. After removal of the cholesteatoma, a limited area of the fallopian canal, in which facial nerve oedema or redness was evident, was opened. Incision of the epineural sheath for nerve decompression was not performed.Results:Pre-operative House–Brackmann grade was grade II in two patients, grade III in four, grade IV in seven, grade V in one and grade VI in one. Facial nerve perineurium damage was observed in two patients with poor prognoses. All patients treated within the first 15 days after paralysis onset showed normal facial function at long-term follow up. Post-operative House–Brackmann grade was grade I in 11 patients, grade II in 1, grade III in 2 and grade VI in 1.Conclusion:Early surgical treatment is more likely to give good results, and poor outcomes are observed in patients with facial nerve perineurium damage.

Cranial hyperostosis and hearing loss (A new syndrome?)

1986 ◽  
Vol 100 (10) ◽  
pp. 1187-1193
Author(s):  
W. H. Moesker ◽  
R. A. Tange
Keyword(s):  
Hearing Loss ◽  
Differential Diagnosis ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Musculoskeletal Disease ◽  
Mother And Daughter ◽  
Skeletal Disorder ◽  
Hereditary Conditions

SummaryWe present two patients, mother and daughter, with a skeletal disorder of the skull, hearing loss and in one of them recurrent facial paralysis. In one patient middle ear exploration was performed. The malleus and incus were found to be fixed in the epitympanum.The differential diagnosis is discussed. We reviewed all known hereditary conditions with hearing loss and musculoskeletal disease but we could not accept any of these diagnoses for our patients.

scholarly journals Tuberculosis otitis media: problem relevance

2021 ◽  
pp. 73-81
Author(s):  
Sergey M. Pukhlik ◽  
Olga V. Titarenko ◽  
Nataliya V. Sushko ◽  
Anatolii P. Shchelkunov
Keyword(s):  
Otitis Media ◽  
Middle Ear ◽  
Diagnosis And Treatment ◽  
Mastoid Process ◽  
Course Characteristics ◽  
Treatment Principles ◽  
Middle Ear Disease ◽  
Primary Localization

Aim: currently clarification of the course characteristics, diagnosis and treatment principles of tuberculosis otitis media. Materials and methods: The study included 6 cases (8 ears) of tuberculosis otitis media and mastoid process from 2015 to 2020. Clinical, radiological, bacteriological, pathomorphological studies were used for diagnostics. Results: Primary localization of tuberculosis in the middle ear was found in 2 patients. In 4 patients tuberculosis middle otitis associated with lung affection. The disease manifested in the form of purulent perforated otitis media with a polymorphic otoscopic picture in all examined patients. The terms of the diagnosis were from 6 months to 1.5 years since the onset of the disease. This indicates the complexity of diagnosing the tuberculous etiology of the middle ear disease.

Macroglossia combined with lymphangioma: a case report

2004 ◽  
Vol 27 (2) ◽  
pp. 167-169 ◽  
Author(s):  
Marcio Guelmann ◽  
Joseph Katz
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Dental Care ◽  
Clinical Presentation ◽  
Traumatic Injury ◽  
Diagnosis And Treatment ◽  
White Female ◽  
Severe Bleeding ◽  
Incisional Biopsy ◽  
Review Of The Literature

A four year old white female with a clinical presentation of macroglossia is described. Speech disturbances and occasional episodes of traumatic injury to the tongue with severe bleeding brought the patient to seek dental care. Lymphangioma was diagnosed after incisional biopsy. The differential diagnosis of tongue enlargement in children is discussed including review of the literature relevant to the diagnosis and treatment of lymphangioma.

Gout: Rare Cause of Hallucal Sesamoid Pain: A Case Report

1997 ◽  
Vol 18 (12) ◽  
pp. 818-820 ◽  
Author(s):  
Peter U. Reber ◽  
Ameet G. Patel ◽  
Bruno Noesberger
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Medical Management ◽  
Rare Case ◽  
Clinical Presentation ◽  
Diagnosis And Treatment ◽  
Great Toe ◽  
Sesamoid Bone ◽  
Tophaceous Gout

Tophaceous gout is commonly encountered and is amenable to effective medical management. A rare case of tophaceous gout in a tripartite medial sesamoid bone of the great toe is presented. Clinical presentation, differential diagnosis, and treatment of hallucal sesamoid pain are discussed.

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.

Facial nerve schwannoma: nerve fibre dissemination

1996 ◽  
Vol 110 (7) ◽  
pp. 632-633 ◽  
Author(s):  
Mutawakel Hajjaj ◽  
Fred H. Linthicum
Keyword(s):  
Facial Nerve ◽  
Nerve Fibre ◽  
Facial Paralysis ◽  
Middle Ear ◽  
Small Groups ◽  
Tumour Mass ◽  
Nerve Fibres ◽  
Single Fibres ◽  
Facial Nerve Schwannoma

AbstractBiopsy of a middle ear mass can lead to facial paralysis when the mass is a facial nerve schwannoma. Immunostaining techniques were used to determine if nerve fibres might be present within the tumour mass. Nerve fibres were found to be widely disseminated throughout the tumour in eight of 23 facial nerve schwannomas. Antibodies to neurofilaments demonstrated single fibres, or small groups of fibres, that are very difficult to see with routine haematoxylin and eosin stains. The presence of fibres throughout some tumours makes biopsy of them likely to result in facial dysfunction.

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