Delayed Facial Paralysis After Middle Ear and Mastoid Surgery due to Reactivation of Herpes-Zoster Virus.
- Author:
Chang Gun CHO
1
Author Information
1. Department of Otorhinolayrngology-Head and Neck Surgery, Dongguk University College of Medicine, Goyang, Korea. cho69@duih.org
- Publication Type:Case Report
- Keywords:
Herpes zoster oticus;
Facial paralysis
- MeSH:
Ear, Middle;
Earache;
Facial Paralysis;
Herpes Zoster Oticus;
Humans;
Mastoid;
Serologic Tests;
Viruses
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2008;51(9):829-832
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Herpes viral reactivation is thought to be an important etiologic factor in the development of post-operative delayed onset of facial paralysis. The authors present a case of herpes zoster oticus that occurred as a consequence of middle ear and mastoid surgery. The patient was initially misdiagnosed as iatrogenic facial paralysis and treated with oral steroid only. The final diagnosis of herpes zoster oticus was made by the development of herpetic auricular eruption with severe otalgia and the results of positive serological tests. Clinical features, diagnosis and management of this rare case are presented and discussed.
