Document Detail


Facial nerve paralysis secondary to acute otitis media in infants and children.
MedLine Citation:
PMID:  15265194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Nowadays, facial paralysis is an uncommon complication of acute inflammation of the middle ear, with an estimated incidence of 0.005%; it was not so rare in the pre-antibiotic era, occurring in 0.5-0.7% of middle ear inflammatory processes. We would like to highlight this complication of acute otitis media, a common paediatric complaint. We present three new cases of facial palsy in children with acute otitis media and discuss the etiological mechanisms and different approaches to the treatment; a flow chart for facial paralysis in acute otitis media is also presented. Our three patients recovered completely after mastoidectomy (first two cases) and myringotomy with antibiotic therapy (third case). Facial paralysis is an uncommon complication of otitis media which requires appropriate care. Following our experience and revision of literature on the subject, antibiotic therapy and myringotomy are the first-line procedures. Surgery should be employed in case of acute or coalescent mastoiditis, suppurative complications and lack of clinical regression.
Authors:
E Gaio; G Marioni; C de Filippis; A Tregnaghi; S Caltran; A Staffieri
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  40     ISSN:  1034-4810     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  2004 Aug 
Date Detail:
Created Date:  2004-07-21     Completed Date:  2004-12-02     Revised Date:  2007-09-24    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  483-6     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, University of Padua, Italy. gaio.elena@libero.it
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adrenal Cortex Hormones / therapeutic use
Anti-Bacterial Agents / therapeutic use
Ceftazidime / therapeutic use
Child
Facial Paralysis / etiology*
Female
Humans
Infant
Male
Otitis Media / complications*,  drug therapy,  surgery
Prognosis
Treatment Outcome
Chemical
Reg. No./Substance:
0/Adrenal Cortex Hormones; 0/Anti-Bacterial Agents; 78439-06-2/Ceftazidime
Comments/Corrections
Comment In:
J Paediatr Child Health. 2005 Apr;41(4):231; author reply 231-2   [PMID:  15813883 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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