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Foreign body resulting in chronic otomastoiditis and facial palsy

Roshan Kumar Verma1, Bhumika Gupta1, Naresh K Panda1

  • 1Department of Otolarngology and Head & Neck surgery, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.

International Journal of Pediatric Otorhinolaryngology
|December 16, 2014
PubMed

Insights

A 5-year-old child

Area of Science:

  • Otolaryngology
  • Pediatric Otology

Background:

  • Chronic suppurative otitis media (CSOM) can present with complications.
  • Facial nerve palsy is a serious complication of middle ear infections.

Observation:

  • A 5-year-old girl presented with CSOM and facial nerve palsy.
  • Exploration revealed exuberant granulation tissue in the middle ear and attic.
  • A foreign body, identified as a seed, was discovered within the granulation tissue.

Findings:

  • The foreign body was successfully removed.
  • The bony facial canal was dehiscent in the tympanic segment.
  • The child experienced recovery of facial nerve function post-removal.

Implications:

  • Foreign bodies should be considered in the differential diagnosis of complicated CSOM in children.
  • Increased awareness can improve diagnosis and management of such cases.
  • Prompt identification and removal of foreign bodies can lead to favorable outcomes, including facial nerve function recovery.

Keywords:
Chronic suppurative otitis mediaDehiscent facial nerveFacial palsyForeign body (seed)

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