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Updated: May 1, 2026
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[The observation of delayed facial paralysis after middle ear and mastoid surgery: 10 cases analysis]
Wenming Wu1, Dongyi Han, Jialing Wang
1Department of Otolaryngology-Head and Neck Surgery, General Hospital of PLA, Institute of PLA Otolaryngology, Beijing, 100853, China.
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.
