[The observation of delayed facial paralysis after middle ear and mastoid surgery: 10 cases analysis].

作者信息

Wu Wenming, Han Dongyi, Wang Jialing, Yang Weiyan

机构信息

Department of Otolaryngology-Head and Neck Surgery, General Hospital of PLA, Institute of PLA Otolaryngology, Beijing, 100853, China.

出版信息

Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2004 Apr;18(4):200-1.

PMID:15318629

Abstract

OBJECTIVE

To analyze the cause,treatment and prognosis of 10 cases (ten ears) of delayed facial paralysis (DFP) after chronic otitis media surgery.

METHOD

Ten cases of DFP after chronic otitis media surgery were reviewed for the causes, treatments and their prognosis. In all 10 cases, glucocorticoid, antibiotics, neurotrophic and blood vessel dilating agents were prescribed and physiotherapy was also applied.

RESULT

After 3 weeks, full recovery was found in all cases, showing the benign prognosis of DFP after chronic otitis media surgery.

CONCLUSION

The local edema of facial nerve in response to minor surgical procedures is speculated to be the primary cause of DFP, and it may also be accelerated by the infections of herpes simplex subsequently.

摘要