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Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
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Silent mastoiditis and bilateral simultaneous facial palsy

F Tovi, A Leiberman

    International Journal of Pediatric Otorhinolaryngology
    |July 1, 1983
    PubMed

    Insights

    Bilateral simultaneous facial palsy is rare in children with persistent otitis media. This case highlights the importance of prompt antibiotic treatment and ventilating tubes for full recovery from facial nerve dysfunction.

    Area of Science:

    • Otolaryngology
    • Pediatric Neurology
    • Infectious Diseases

    Background:

    • Silent mastoiditis, a complication of acute otitis media, is increasingly common with antibiotic use.
    • Pediatric middle ear infections typically affect both ears, but otitic facial palsy is usually unilateral.

    Observation:

    • A 7-month-old infant presented with bilateral simultaneous facial palsy during persistent otitis media.
    • This presentation is unusual, as otitic facial palsy typically occurs unilaterally.

    Findings:

    • The child received antibiotic therapy and had ventilating tubes inserted.
    • This treatment resolved the infectious inflammatory process.

    Implications:

    • Prompt and appropriate management of otitis media can lead to full recovery from associated facial nerve dysfunction.
    • This case underscores the need to consider bilateral facial palsy in pediatric otitis media cases.

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