| Facial nerve paralysis secondary to acute otitis media in infants and children. | |
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MedLine Citation:
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PMID: 15265194 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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E Gaio; G Marioni; C de Filippis; A Tregnaghi; S Caltran; A Staffieri |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of paediatrics and child health Volume: 40 ISSN: 1034-4810 ISO Abbreviation: J Paediatr Child Health Publication Date: 2004 Aug |
Date Detail:
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Created Date: 2004-07-21 Completed Date: 2004-12-02 Revised Date: 2007-09-24 |
Medline Journal Info:
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Nlm Unique ID: 9005421 Medline TA: J Paediatr Child Health Country: Australia |
Other Details:
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Languages: eng Pagination: 483-6 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, University of Padua, Italy. gaio.elena@libero.it |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Adrenal Cortex Hormones; 0/Anti-Bacterial Agents; 78439-06-2/Ceftazidime |
| Comments/Corrections | |
Comment In:
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J Paediatr Child Health. 2005 Apr;41(4):231; author reply 231-2
[PMID:
15813883
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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