Right Sided Facial Nerve Palsy, Bilateral Microtia with Polydactyly in an Infant – A Rare Case Report

Congenital facial palsy (CFP) is facial palsy of the seventh cranial nerve present at birth. It is commonly believed to be either developmental or originally acquired. Facial palsy of developmental origin is associated with other anomalies including ear, eye or cardiac anomalies. But it is rarely associated with polydactyly. We report a 10- month-old female infant who had right CFP with bilateral microtia and polydactyly. Congenital facial nerve palsy unilaterally manifesting as weakness of entire face on one side due to infranuclear cause is a rare occurrence in paediatric population.1 The facial palsy of lower motor neuron type involves weakness of same side of muscles of face of one side. Facial nerve as it emerges out of cranium traverses through facial canal medial to mastoid process and divides into multiple branches. It supplies ear, autonomic fibres for lacrimal gland, salivary glands, and motor supply to the face. Any pathology, congenital or acquired causing compression of facial nerve in this pathway can lead to facial palsy. Microtia is a congenital condition that varies from minor structural defects to full ear absence in severity and may occur as an individual defect or as part of a syndrome. Polydactyly is the most common hereditary limb anomaly characterized by extra fingers or toes. Here, we report a case presented with bilateral microtia and right-side facial nerve palsy.

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Three Case Reports of Patients with Facial Nerve Palsy Treated by SJS Non-Resistance Technique-Facial Palsy (SJSNRT-F) Combined with Korean Medicine Treatment

10.30581/jcmm.2021.16.2.87 ◽

2021 ◽

Vol 16 (2) ◽

pp. 87-95

Author(s):

Yunha Lee ◽

Jiwon Chai ◽

Dongjoo Choi ◽

Seunghyeok Ku ◽

SungHyun Kim ◽

...

Keyword(s):

Facial Nerve ◽

Facial Palsy ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Case Reports ◽

Korean Medicine

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A case report of facial nerve palsy associated with chickenpox

The Journal of Laryngology & Otology ◽

10.1017/s002221510012780x ◽

1994 ◽

Vol 108 (8) ◽

pp. 676-678 ◽

Cited By ~ 7

Author(s):

Yoshiharu Watanabe ◽

Minoru Ikeda ◽

Nobuo Kukimoto ◽

Mutsumi Kuga ◽

Hiroshi Tomita

Keyword(s):

Case Report ◽

Facial Nerve ◽

Facial Palsy ◽

Poor Prognosis ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

English Literature ◽

Infection Route ◽

Peripheral Facial Palsy ◽

Route Of Infection

AbstractWe examined a very unusual patient who developed peripheral facial palsy with chickenpox. A survey of the English literature revealed that eight such patients had been reported, but the period between the appearance of the vesicles of varicella and the facial nerve palsy ranged from five days before to 16 days after the eruption development. We presume that the route of infection was neurogenous in patients who had palsy after the appearance of the eruptions, but haematogenous in patients who had palsy before the appearance of vesicles. The two patients whose infection route was presumed to be haematogenous, had a poor prognosis.

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Mucormycosis of the temporal bone with facial nerve palsy: A rare case report

Indian Journal of Otology ◽

10.4103/0971-7749.152870 ◽

2015 ◽

Vol 21 (1) ◽

pp. 61 ◽

Cited By ~ 1

Author(s):

KN Sathish Kumar ◽

Nishan

Keyword(s):

Case Report ◽

Facial Nerve ◽

Temporal Bone ◽

Rare Case ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Rare Case Report

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Ionophoresis and LASER applications in facial nerve palsy

Balneo Research Journal ◽

10.12680/balneo.2019.299 ◽

2019 ◽

Vol 10 (Vol 10 No. 4) ◽

pp. 551-554

Author(s):

Cristina Octaviana DAIA ◽

Ștefana CROITORU ◽

Ioana CAZACU ◽

Ruxandra SCUTUROIU ◽

Octaviana DAIA ◽

...

Keyword(s):

Complete Remission ◽

Facial Nerve ◽

Temporomandibular Joint ◽

Facial Palsy ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Facial Nerve Paralysis ◽

Nerve Paralysis ◽

Combined Application ◽

Number Of Patients

Background and aim of the study. The aim of this article is to present the functional gain of the specific rehabilitation program in patients with facial nerve paralysis, irrespective of etiology, following a complex physiotherapeutic treatment, consisting of the combined application of ionophoresis and LASER. Material and Method. We performed a retrospective analysis of 26 patients having their consent and The Theaching Emergency Hospital “Bagdasar-Arseni” (TEHBA) ethics Committee’s approval, N.O. 683/21.02.2019. The patients were admitted to the Neuro-Muscular Rehabilitation Clinic Division of TEHBA between April 2011 and March 2019. The patients were over the age of 18, diagnosed with facial nerve palsy and received physiotherapy consisting of the combined application of: ionophoresis with 1% potassium iodide, applied to positive electrode, preauricular, and the negative electrode, retroauricular, for 20 minutes and LASER, to the temporomandibular joint on the affected part, 4 points : radiant exposure per dose 3 J/cm2, frequency 5 Hz, probe area 1 cm2, power 62 mW, for 10 sessions and two sets of the same formula at the temporomandibular joint on the opposite side. Results. From the etiological point of view, the study included an equal number of patients with peripheric facial palsy (PFP) and with central facial palsy (CFP), respectively 13 in each group. Overall, at least 1 patient in 2 had a positive response to physiotherapy. In the patients with PFP, 77% of patients responded to the treatment and 46% had complete remission. In the patients with CFP, only 30% responded to treatment and only one had complete remission. Approximately half of the patients did not have any adverse reactions (46%), while the rest showed temporary erythema (46%), or local tingling sensation over a variable period of time (8%). Conclusion. Applying the combination of ionophoresis and LASER as physiotherapic treatment is particularly effective in peripheric facial nerve paresis. The method is safe and well tolerated, therefore we propose its use in this type of pathology. Key words: Laser therapy, facial nerve paralysis, ionophoresis,

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Bilateral facial palsy in an adult with chickenpox

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20205073 ◽

2020 ◽

Vol 6 (12) ◽

pp. 2286

Author(s):

Arthur Wong ◽

Jeyanthi Kulasegarah

Keyword(s):

Facial Nerve ◽

Facial Palsy ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Clinical Signs ◽

The Body ◽

Varicella Zoster ◽

Ramsay Hunt Syndrome ◽

Hunt Syndrome ◽

Nerve Recovery

<p class="abstract">Chickenpox is a result of primary infection with varicella zoster virus. Isolated facial nerve palsy as a complication is rare, and here we report an extraordinary case of bilateral facial nerve palsy following chickenpox in an adult. A 55-year-old male presented to the emergency department with a day’s history of facial weakness. He had recently contracted chickenpox with an onset 16 days prior. Physical examination noted crusted vesicles all over the body and a bilateral facial palsy. There were no clinical signs of meningitis or cerebrovascular accident. He was managed with a short course of oral aciclovir and prednisolone and recovered fully after a month. Presentations of facial nerve palsy in chickenpox are rare and should be differentiated from Ramsay Hunt syndrome. Prognosis is relatively good with the majority of known cases seeing complete facial nerve recovery within 6 months. </p>

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Right sided facial palsy more common in males while left sided facial palsy more common in females

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20182456 ◽

2018 ◽

Vol 6 (7) ◽

pp. 2291

Author(s):

Gaurav Jain ◽

Virendra Verma

Keyword(s):

Facial Nerve ◽

Retrospective Analysis ◽

Facial Palsy ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Age Groups ◽

Age Group ◽

Males And Females ◽

The Mean ◽

Diagnosis Age

Background: The study describes the retrospective analysis of 54 cases of facial nerve palsy patients seen in our neurophysiology Laboratory during February 2016 to January 2018.Methods: Clinically diagnosed cases of facial nerve palsy encountered at neurophysiology laboratory were analyzed on the basis of their diagnosis, age, sex, side affected and their seasonal occurrence. Patients were grouped in to four age groups of <20 yr, 21-40 yr, 41-60 yr and >60 yr.Results: Out of total 54 facial palsy cases with the mean age of 34.39±14.25 yr, 29 (53.70%) were males and 25 (46.30%) were females. Facial palsy was most common in 21-40 yr age group (42.59%, n=23), followed by 41-60 yr age group (29.63%, n=16). Nearly equal number of cases of right sided (26; 48.15%) and left sided (28; 51.85%) facial palsy were observe. However, right side facial palsy was more common in males with right side to left side facial palsy ratio of 1.90:1 and left sided facial palsy was more common in females with right side to left side facial palsy ratio of 1:2.57.Conclusions: Facial palsy cases are uniformly distributed among males and females with preponderance of right facial palsy in males and left facial palsy in females.

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Facial palsy: aetiology, diagnosis and management

Dental Update ◽

10.12968/denu.2019.46.6.565 ◽

2019 ◽

Vol 46 (6) ◽

pp. 565-572

Author(s):

Sarah McKernon ◽

Ayisha Davies House ◽

Colette Balmer

Keyword(s):

Facial Nerve ◽

Facial Palsy ◽

Clinical Relevance ◽

Management Strategy ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Motor Neurone ◽

Cranial Neuropathy ◽

Evidence Based ◽

The Many

Facial nerve palsy is the most frequently occurring cranial neuropathy reported to affect 1 in 60 people during their lifetime. An important step in examining these patients, is establishing whether the palsy is caused by an upper or lower motor neurone. Of the many potential aetiologies, Bell's palsy is the most frequently occurring lower motor neurone lesion. The prognosis for this is good, with approximately 85% of patients making a full recovery within three weeks. The aims of this article are to review the appropriate anatomy, potential causes of facial nerve palsy and describe a recommended assessment and management strategy for these patients. CPD/Clinical Relevance: To inform readers of the variety of causes of facial nerve palsy and present the evidence-based management.

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Facial nerve palsy secondary to middle-ear lipoma

The Journal of Laryngology & Otology ◽

10.1017/s0022215108002247 ◽

2008 ◽

Vol 122 (6) ◽

Cited By ~ 7

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.

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Acute necrotizing otitis media in infant: a rare and challenging case

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20202801 ◽

2020 ◽

Vol 6 (7) ◽

pp. 1383

Author(s):

Priti S. Hajare ◽

Samanvaya Soni ◽

V. D. Patil ◽

Rajesh R. Havaldar ◽

Ramesh S. Mudhol

Keyword(s):

Facial Nerve ◽

Otitis Media ◽

Nerve Palsy ◽

Facial Nerve Palsy ◽

Middle Ear Infection ◽

Intravenous Antibiotics ◽

Rare Case Report ◽

Acute Necrotizing ◽

Grade Ii ◽

High Index Of Suspicion

<p class="abstract">Acute necrotizing otitis media (ANOM) is a highly virulent middle ear infection that results in necrosis of the tympanic cavity. Here a rare case report is presented of a 4 month infant who presented with bilateral ANOM and right facial nerve palsy which was aggressively managed with debridement and intravenous antibiotics obviating the need of surgery. The child was followed up for a period of 6 months where both the ears remained disease free accompanied with hearing gain and grade of facial palsy improvement from grade V to grade II. ANOM is still a possibility in the modern era of higher antibiotics and a high index of suspicion is required. Timely and aggressive management has to be done in order to prevent the dreaded complications and sequelae like facial nerve palsy and hearing loss which are likely to be permanent.</p>

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