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Facial Nerve

Facial nerve sheath hematoma and paralysis after cochlear implant surgery

January 24, 2013  |  Christopher V. Lisi, MD; Tré Landrum, DO; Robert T. Sataloff, MD, DMA, FACS

Facial nerve injury with resulting facial paralysis is perhaps the most feared complication of middle ear and mastoid surgery.

Huge middle ear adenoma with delayed facial nerve paralysis

June 4, 2012  |  Seung Ho Lee, MD; Hoseok Choi, MD, PhD; Young Chae Chu, MD; Young Hyo Kim, MD; Kyu-Sung Kim, MD, PhD


Middle ear adenoma is a rare disease that arises from the mucosa of the middle ear. Only a few cases of associated facial nerve paralysis have been reported. Facial nerve involvement is most likely related to nerve compression rather than tumor invasion of...

Otomastoiditis with acute left facial nerve paralysis caused by Mycobacterium chelonae

December 15, 2011  |  Kang-Chao Wu, MD, Min-Tsan Shu, MD, and Bo-Nien Chen, MD


Mycobacterium chelonae usually causes soft-tissue and skin infection. It is a rare cause of otomastoiditis. The clinical presentation and operative findings are similar to those of other nontuberculous mycobacterial infections. We describe a case of left-sided otomastoiditis...

The effect of early division of the chorda tympani on gustatory function

November 22, 2011  |  Bruno Kenway, BMedSci, MRCS, DOHNS, Anand Kasbekar, BMedSci, MRCS, DOHNS, Neil Donnelly, MSc, FRCS (ORLHNS), and Patrick Axon, MD, FRCS (ORLHNS)


This study was undertaken to assess dysgeusia in patients who have undergone middle ear surgery for chronic suppurative otitis media (CSOM) when the surgeon's practice was to cleanly divide the chorda tympani without prior manipulation, if it in any way hindered operative...

Facial nerve paralysis following transtympanic penetrating middle ear trauma

November 22, 2011  |  Alfred Marc Iloreta, MD and Benjamin D. Malkin, MD

Delayed facial nerve palsy after endolymphatic sac surgery

August 16, 2011  |  Helen X. Xu, MD, Armin Farajzadeh Deroee, MD, Shruti Joglekar, MD, Natasha Pollak, MD, Francis Hobson, MD, Tristin Santori, HIS, and Michael M. Paparella, MD


Data on delayed facial nerve palsy (DFNP) following endolymphatic sac enhancement surgery are limited. We conducted a retrospective chart review to determine the incidence, possible predisposing factors, treatment, and prognosis of DFNP in such cases. We reviewed the records of...

Reconstruction of the paralyzed face

June 14, 2011  |  Ashley B. Robey, MD and Mary C. Snyder, MD


Facial nerve paralysis can be difficult to treat because it presents a variety of functional, aesthetic, and psychosocial challenges. The goals of treatment include facial symmetry at rest, corneal protection, oral competence, restoration of voluntary and spontaneous facial...

Measurements of the facial recess anatomy: Implications for sparing the facial nerve and chorda tympani during posterior tympanotomy

October 1, 2010  |  Caglar Calli, MD, Ercan Pinar, MD, Semih Oncel, MD, Bekir Tatar, MD, and Mehmet Ali Tuncbilek, MD


Posterior tympanotomy is commonly performed through the facial recess to facilitate cochlear implantation. A rare but serious complication of this procedure is paralysis of the facial nerve and/or the chorda tympani. These complications generally occur because of a limited...

Therapeutic approaches to complicated cholesteatoma of the external auditory canal: A case of associated facial paresis

August 1, 2010  |  Malek Belcadhi, MD, Houda Chahed, PhD, Radhouane Mani, MD, and Kamel Bouzouita, MD


Spontaneous cholesteatoma of the external auditory canal (EAC) is an uncommon condition that is difficult to diagnose. In a patient with such a possibility, serious clinical investigation along with radiologic and histologic exploration should be performed early on because a...

Delayed facial paresis following tympanomastoid surgery in a pediatric patient

August 1, 2010  |  Marc C. Thorne, MD, Brian P. Dunham, MD, and Lawrence W.C. Tom, MD


Despite the presence of normal facial nerve function in the immediate postoperative period, patients may develop facial nerve dysfunction anywhere from several hours to several days after otologic surgery. This delayed facial paresis, following a broad range of otologic...

Complete obstruction of the stapes footplate by a dehiscent facial nerve in stapedectomy

November 1, 2009  |  Vanessa S. Rothholtz, MD, MSc and Hamid R. Djalilian, MD

Intraparotid facial nerve schwannoma: Clinician beware

August 1, 2009  |  Neil Tanna, MD, MBA, Philip E. Zapanta, MD, Leela Lavasani, MD, and Nader Sadeghi, MD


Intraparotid facial nerve schwannomas are rare neoplasms that are challenging to diagnose and manage. Many patients present with a painless, palpable facial mass. The presence of facial paralysis is variable. Imaging studies and fine-needle aspiration cytology are not always...


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