A Case of Chronic Suppurative Otitis Media with Facial Nerve Palsy due to Aspergillus Infection

Author(s):  
Dae-Young Chung ◽  
Dong-Chul Kim ◽  
Sang Won Yeo ◽  
Shi-Nae Park
2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Paramita Debnath

Background: Facial nerve palsy is considered to be one of the most common consequence of untreated chronic suppurative otitis media. The incidence has significantly reduced over the decade due to better imaging technology and use of early antibiotics and better surgical procedures but if left untreated, it has a significant impact over the patient’s day to day life and markedly affects patient’s social life and causes serious psychological damage. An appropriate and prompt management ensures healing of the palsy without sequelae. Case Report: We report a case of bilateral chronic suppurative otitis media with unilateral right grade 4 facial nerve palsy which happened within a duration of 1 month for which patient underwent right modified radical mastoidectomy following which she had steady improvement. Conclusion: This case highlights that in patients with middle-ear cleft cholesteatoma the surgical approaches vary according to duration of palsy and post-operative improvement in facial nerve function can be anticipated in cases of acute palsy. Surgical interventions have been proved to have a good effect in restoration of facial nerve palsy in cases of shorter duration as compared to those of sudden onset and longer duration.


1989 ◽  
Vol 103 (7) ◽  
pp. 685-685 ◽  
Author(s):  
D. J. Premachandra ◽  
G. Radcliffe

AbstractFacial nerve palsy is a known complication of acute suppurative otitis media. Cases of facial nerve palsy following secretory otitis media have not been reported in the world literature. We report a case of bilateral facial nerve palsy following secretory otitis media.


1995 ◽  
Vol 109 (8) ◽  
pp. 755-758 ◽  
Author(s):  
C. Hartley ◽  
S. R. Saeed ◽  
T. J. Lyons

AbstractA 47-year-old man developed a complete facial nerve palsy secondary to non-cholesteatomatous suppurative otitis media. At operation, this was seen to be due to destruction of the nerve from halfway along the horizontal segment to a point just distal to the second genu. The history of recent renal transplantation and subsequent immunosuppression was judged to be significant in the pathogenesis of the palsy.


1989 ◽  
Vol 89 (2) ◽  
pp. 207-211
Author(s):  
Patrick E. Henderson ◽  
Samuel C. Baldone

2020 ◽  
Vol 154 (12) ◽  
pp. 526
Author(s):  
Kalaiarasi Raja ◽  
Satvinder Singh Bakshi

2003 ◽  
Vol 30 ◽  
pp. 97-98 ◽  
Author(s):  
Kentaro Ochi ◽  
Yasuhiro Miyamoto ◽  
Toru Ohashi

1998 ◽  
Vol 25 (2) ◽  
pp. 169-172 ◽  
Author(s):  
Ali Altuntas ◽  
Adnan Unal ◽  
Asim Aslan ◽  
Muge Ozcan ◽  
Sinan Kurkcuoglu ◽  
...  

1980 ◽  
Vol 94 (6) ◽  
pp. 649-657 ◽  
Author(s):  
I. H. Calonius ◽  
C. K. Christensen

SummaryIn two patients with Wegener's granulomatosis, treatment-resistant serous otitis media was followed by unilateral facial nerve palsy. Later both patients developed uraemia due to extracapillary glomerulonephritis. In one of them, who was treated with prednisone and cyclophosphamide, renal function improved, while in the other patient it remained impaired. Both patients suffered lasting hearing impairment in spite of general improvement during the course of the disease. The facial nerve palsy improved slightly in one, while no improvement was seen in the other.The possibility of Wegener's granulomatosis or other autoimmune collagen diseases should be considered in cases of treatment-resistant serous otitis media. Early diagnosis and treatment can possibly save the patient from the lifethreatening consequences of these diseases.


2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Christian Mathew Boboc ◽  
Sonja Ciocani ◽  
Raluca Morar ◽  
Andreea Kis ◽  
Alexandru Chioreanu ◽  
...  

We present the case of a 54-year old woman diagnosed with chronic suppurative otitis media, who was admitted to the ENT Department with four-week-old, sudden-onset, left-sided facial nerve paralysis, and ipsilateral otalgia and hemicrania. Physical examination revealed positive signs of acute postaural inflammation. The patient’s facial nerve paralysis was scored as VI, according to the House-Brackmann scale. A cranio-facial computer tomography examination revealed mastoid cavity opacification, mucosal hypertrophy, and signs of chronic osteitis, with minimal mucous accumulation. The patient underwent a radical modified mastoidectomy with type-I tympanoplasty to verify the presence of a cholesteatoma, and to remove the offending lesions. Post-operatively, patient evolution was favorable, and prognosis remained encouraging. The patient’s evolution will be followed by check-ups every three months to assess progress and benefits of the treatment.


2019 ◽  
Vol 32 (3) ◽  
Author(s):  
Magdalena Frankowska ◽  
Jolanta Biszewska ◽  
Jarosław Łuczaj ◽  
Emilia Duchnowska ◽  
Bożena Kosztyła-Hojna ◽  
...  

The hearing and balance organ maintains human spatial orientation as well as the ability to localize and discriminate individual sounds. Without properly functioning hearing organ, it would be impossible to develop speech, which is a mean of communication and social interaction. Therefore, it is important to observe the condition of particular senses, including hearing, and in case of disturbing symptoms or accidents causing damage, contact a specialist. This will enable early diagnosis and intervention. Sound is received by human organism through the conductive and receiving parts of the hearing organ. It is important to determine which part of hearing organ is impaired, since the procedure for receiving and conductive hearing loss is different. Precise diagnosis may determine the location of hearing damage. The basic element of diagnostics is case history. Further, a complex laryngological examination is conducted. The next step is the examination of the patient with appropriate subjective tests (Weber tests, distraction test, whispered voice test) and objective tests (OAE, tympanometry, brainstem auditory evoked potentials). These tests indicate the location and extent of hearing damage and also suggest the appropriate treatment for the individual patient. Acute otitis media is a condition that mainly affects children, but it also occurs in adults – more often men. It is usually caused by viral and bacterial infections of the upper respiratory tract. Characteristic is the sudden onset of discomfort, exudation in the tympanic cavity, along with ear pain and inflammation. Acute otitis media may lead to complications such as facial nerve palsy, tympanosclerosis, labyrinthitis, mastoiditis, and brain abscess.


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