Facial Nerve Paralysis as A Complication of Acute Otitis Media

Background:Facial nerve paralysis is not a very frequent association with acute otitis media (AOM). The pathophysiology and treatment of this condition still under debate. Aim of the Work:to review the treatment strategies and extent of recovery in patients with facial nerve paralysis after AOM. Pat...

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Autores principales:	Mohamed Mahmoud Fatthy Ramadan, Mahmoud Helmy Elsaied, Mohamed Gaber Hassan
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	facial nerve otitis media paralysis house-brackmann scale mastoidectomy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/89fdc45f238b4df7a4ef115a99598bc6
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spelling	oai:doaj.org-article:89fdc45f238b4df7a4ef115a99598bc62021-12-02T19:02:51ZFacial Nerve Paralysis as A Complication of Acute Otitis Media2636-41742682-378010.21608/ijma.2021.185449https://doaj.org/article/89fdc45f238b4df7a4ef115a99598bc62021-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_185449_7fc77f79585dc91104f8e6d9b343c89d.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background:Facial nerve paralysis is not a very frequent association with acute otitis media (AOM). The pathophysiology and treatment of this condition still under debate. Aim of the Work:to review the treatment strategies and extent of recovery in patients with facial nerve paralysis after AOM. Patients and Methods:The study was a retrospective study. Authors reviewed a total of 4710 cases of AOM seen during the period form 2010 to 2020. Fourty cases developed facial nerve paralysis. All were reviewed for epidemiological data and clinical assessment. Facial palsy was graded by House-Brackmann scale. All patients were treated with antibiotics combined with oral or intravenous corticosteroids. Myringotomy with or without application of a ventilation and mastoidectomy without decompression of the facial nerve were performed in selected cases. Result:Normal facial function was resumed to normal in all patients. The paralysis was mainly of acute onset (90.0%) and otorrhea reported among 12.5%. The initial paralysis grade was mainly grade IV (41.3%) followed by grade III (26.3%). The topography was mainly infrageniculate (86.3%). A collected material for bacteriology was reported for 40.0%, and 53.1% of them had negative culture. The most common detected organism was staphylococcus aureus (18.8%). Myringotomy was done for 7.5%, aspiration for 10.0% and Mastoidectomy for 10.0%. The overall outcome was good among 90.0% and bad among 10.0%. The duration for complete cure in cases with good outcome not exceeded 3 months. Only lower initial grade on House-Brackmann scale and infrageniculate topography were associated with favorable outcome. Conclusion: The management of facial nerve paralysis due to acute otitis media could be conservative by antibiotics with corticosteroids.Mohamed Mahmoud Fatthy RamadanMahmoud Helmy ElsaiedMohamed Gaber HassanAl-Azhar University, Faculty of Medicine (Damietta)articlefacial nerveotitis mediaparalysishouse-brackmann scalemastoidectomyMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 3, Pp 1618-1623 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	facial nerve otitis media paralysis house-brackmann scale mastoidectomy Medicine (General) R5-920
spellingShingle	facial nerve otitis media paralysis house-brackmann scale mastoidectomy Medicine (General) R5-920 Mohamed Mahmoud Fatthy Ramadan Mahmoud Helmy Elsaied Mohamed Gaber Hassan Facial Nerve Paralysis as A Complication of Acute Otitis Media
description	Background:Facial nerve paralysis is not a very frequent association with acute otitis media (AOM). The pathophysiology and treatment of this condition still under debate. Aim of the Work:to review the treatment strategies and extent of recovery in patients with facial nerve paralysis after AOM. Patients and Methods:The study was a retrospective study. Authors reviewed a total of 4710 cases of AOM seen during the period form 2010 to 2020. Fourty cases developed facial nerve paralysis. All were reviewed for epidemiological data and clinical assessment. Facial palsy was graded by House-Brackmann scale. All patients were treated with antibiotics combined with oral or intravenous corticosteroids. Myringotomy with or without application of a ventilation and mastoidectomy without decompression of the facial nerve were performed in selected cases. Result:Normal facial function was resumed to normal in all patients. The paralysis was mainly of acute onset (90.0%) and otorrhea reported among 12.5%. The initial paralysis grade was mainly grade IV (41.3%) followed by grade III (26.3%). The topography was mainly infrageniculate (86.3%). A collected material for bacteriology was reported for 40.0%, and 53.1% of them had negative culture. The most common detected organism was staphylococcus aureus (18.8%). Myringotomy was done for 7.5%, aspiration for 10.0% and Mastoidectomy for 10.0%. The overall outcome was good among 90.0% and bad among 10.0%. The duration for complete cure in cases with good outcome not exceeded 3 months. Only lower initial grade on House-Brackmann scale and infrageniculate topography were associated with favorable outcome. Conclusion: The management of facial nerve paralysis due to acute otitis media could be conservative by antibiotics with corticosteroids.
format	article
author	Mohamed Mahmoud Fatthy Ramadan Mahmoud Helmy Elsaied Mohamed Gaber Hassan
author_facet	Mohamed Mahmoud Fatthy Ramadan Mahmoud Helmy Elsaied Mohamed Gaber Hassan
author_sort	Mohamed Mahmoud Fatthy Ramadan
title	Facial Nerve Paralysis as A Complication of Acute Otitis Media
title_short	Facial Nerve Paralysis as A Complication of Acute Otitis Media
title_full	Facial Nerve Paralysis as A Complication of Acute Otitis Media
title_fullStr	Facial Nerve Paralysis as A Complication of Acute Otitis Media
title_full_unstemmed	Facial Nerve Paralysis as A Complication of Acute Otitis Media
title_sort	facial nerve paralysis as a complication of acute otitis media
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/89fdc45f238b4df7a4ef115a99598bc6
work_keys_str_mv	AT mohamedmahmoudfatthyramadan facialnerveparalysisasacomplicationofacuteotitismedia AT mahmoudhelmyelsaied facialnerveparalysisasacomplicationofacuteotitismedia AT mohamedgaberhassan facialnerveparalysisasacomplicationofacuteotitismedia
_version_	1718377221583798272

Facial Nerve Paralysis as A Complication of Acute Otitis Media

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