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Updated: Jun 21, 2025
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
Delayed-onset facial paralysis following cochlear implantation: a case study and comprehensive analysis
Filiz Gülüstan1, Zahide Mine Yazıcı1, Recep Haydar Koç2
1Department of Otorhinolaryngology & Head and Neck Surgery, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba, Dr. Tevfik Sağlam Street, 11, Istanbul 34147, Turkey.
Objectives:
Cochlear implantation (CI) is a surgical intervention used to rehabilitate hearing in individuals, both pediatric and adult, with severe hearing loss. It is generally a safe procedure with rare postoperative complications. Facial nerve paralysis following cochlear implant surgery poses challenges in diagnosis and treatment.
Methods:
This case report details a 48-year-old male who experienced delayed facial paralysis after cochlear implantation, an uncommon occurrence with limited documentation.
Results:
The facial nerve palsy of the patient resolved by the third week with combined therapy.
Discussion:
The etiology of this complication is not fully understood, with latent virus reactivation, particularly HSV and VZV, hypothesized as a probable cause.
Conclusion:
Successful management involves a combination of corticosteroids, antiviral therapy, and antibiotics, leading to a favorable outcome.
