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Updated: Jun 1, 2026
19:53
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Acute unilateral facial nerve palsy
Siew Swan Yeong1, Peter Tassone
1Medical Workforce Unit, Western Hospital, Melbourne, Victoria. swan.yeong@gmail.com
Australian Family Physician
|May 21, 2011
Summary
A 78-year-old woman experienced facial paralysis and ear swelling, diagnosed as Ramsay Hunt syndrome. This viral infection caused her symptoms, highlighting the importance of prompt diagnosis for facial nerve conditions.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- A 78-year-old female presented with acute left otalgia, ear swelling, and unilateral facial paralysis.
- Past medical history included Bell's palsy and a benign parotid pleomorphic adenoma.
Observation:
- Examination revealed vesicles on the external acoustic meatus.
- A palpable 10 mm nodule was noted at the mandibular ramus.
Findings:
- The patient's presentation was consistent with Ramsay Hunt syndrome, a reactivation of the varicella-zoster virus.
- The vesicles and facial paralysis indicated viral involvement of the facial nerve.
Implications:
- Early diagnosis and treatment of Ramsay Hunt syndrome are crucial for improving facial nerve recovery outcomes.
- This case underscores the importance of considering viral etiologies in patients presenting with acute facial paralysis and otological symptoms.
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