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Facial nerve palsy in otitis externa: A red flag?
Aliyya Badaruddin1, May May Choo2
1MB, BCh, BAO, MOphthal, Department of Ophthalmology, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Summary
Necrotizing otitis externa, a severe ear infection, can rarely cause facial palsy. Prompt treatment is vital to prevent complications like this rare presentation in an elderly patient.
Area of Science:
- Otolaryngology
- Infectious Diseases
- Neurology
Background:
- Otitis externa is a common external auditory canal infection.
- Necrotizing otitis externa (NOE) is a severe, invasive form with potential for serious complications.
- Facial palsy is a rare but serious complication of NOE.
Observation:
- A case report of an elderly male patient presenting with otitis externa.
- The patient developed facial palsy approximately one month after initial presentation.
- This highlights a rare sequela of otitis externa.
Findings:
- The study identified potential contributing factors to the development of facial palsy in this case.
- Analysis suggests that delayed or inadequate management may increase risk.
- Early recognition and aggressive treatment are key to preventing such complications.
Implications:
- This case underscores the importance of vigilant monitoring in patients with otitis externa, especially in the elderly.
- Highlights the need for prompt and comprehensive management of NOE to avert neurological complications.
- Provides insights for preventing facial palsy secondary to invasive ear infections.
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