We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Facial nerve palsy as a complication after otitis media.
- Authors
Skarżyński, P. H.; Kołodziejak, A.; Skarżyński, H.
- Abstract
Objectives: To present the complexity of the problem which is the occurrence of facial nerve palsy as a complication after otitis media. Material: The material was collected on the basis of medical history, tests results, medical documentation and treatment applied to the 46-year-old patient who was admitted to hospital with diagnosed otitis media in the course which facial nerve palsy occurred. Methods: The first performed test was an assessment of the degree of facial nerve damage based on House-Brackmann six-point scale. The ophthalmological examination of the right and left anterior eye segment, computer tomography of temporal bone and puretone audiometry test were performed. The treatment involved antromastoidectomy, posterior tympanotomy, drainage of the tympanic cavity and facial nerve decompression on the left side. Results: In the patient, the degree of paresis on the right side was classified as I point, on the left side as IV point. In ophthalmological examination, the anterior segment of the right eye -- normal, the anterior segment of left eye -- the cornea stained with fluorescein partly, its retention was noted. Computer tomography showed features of acute otitis media on the left side, bulging of the tympanic membrane and the presence of fluid in the atrium and cells of the mastoid bone. Foamy discharge has been seen in the maxillary sinus and the sphenoid sinus. No abnormal foci or intracranial bleeding were found within the brain. In pure-tone audiometry, the right ear hearing threshold for air and bone conduction was within normal range. Mixed hearing loss occurred in the left ear for which the pure-tone average (determined at: 0.5, 1, 2 and 4 kHz) for air conduction was 52 dB and for bone conduction (determined at: 0.5, 1, 2 and 4 kHz) 22 dB. The average air-bone gap was 32 dB. Conclusions: Quickly applied diagnostic and treatment allowed the patient to fully restore the normal function of the facial nerve. First confirmation of RMND1 gene as a cause of
- Subjects
POLAND; FACIAL paralysis; CONFERENCES &; conventions; RISK assessment; OTITIS media; DISEASE risk factors; DISEASE complications
- Publication
Journal of Hearing Science, 2022, Vol 12, Issue 1, p169
- ISSN
2083-389X
- Publication type
Article