Delayed-onset unilateral facial paralysis after mastoidectomy: A case report
doi.org/10.32412/pjohns.v38i1.2149
- Author:
Elbert Digger Q. Baloco, MD
1
;
Jose B. Orosa III, MD
1
Author Information
1. Mariano Marcos Memorial Hospital and Medical Center
- Publication Type:Case Reports
- Keywords:
otologic surgeries;
unilateral facial paralysis;
viral reactivation
- MeSH:
facial nerve;
mastoidectomy
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2023;38(1):50-53
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To discuss the case of a 36-year-old man who presented with left unilateral facial paralysis 11 days after mastoidectomy.
Methods:Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One
Results:A 36-year-old man with recurrent left ear discharge of 30 years duration underwent left canal wall-down mastoidectomy and was discharged well after 3 days. On follow up after 8 more days, he was noted to have House Brackmann IV left facial paralysis. Following 5 days methylprednisolone, neurologic evaluation and physical therapy rehabilitation, facial paralysis improved in the ensuing weeks until House-Brackmann I was achieved at week 12.
Conclusion:Delayed-onset Facial Palsy (DFP) following tympanomastoid surgery may be approached conservatively, including steroids, acyclovir, and, if with a history of herpes or varicella infection, immunization can be given. Prognosis for DFP is good especially when the facial nerve is identified intraoperatively during otologic surgeries
- Full text:CASE REPORT (1).pdf
