Delayed-Onset Unilateral Facial Paralysis After Mastoidectomy: A Case Report

Authors

  • Elbert Digger Q. Baloco, MD Mariano Marcos Memorial Hospital and Medical Center https://orcid.org/0009-0001-9528-5015
  • Jose B. Orosa III, MD Mariano Marcos Memorial Hospital and Medical Center

DOI:

https://doi.org/10.32412/pjohns.v38i1.2149

Keywords:

facial nerve, mastoidectomy, otologic surgeries, unilateral facial paralysis, viral reactivation

Abstract

ABSTRACT

Objective: To discuss the case of a 36-year-old man who presented with left unilateral facial paralysis 11 days after mastoidectomy.
Methods:
     Design: Case Report
     Setting: Tertiary Government Training Hospital
     Patient: One
Results: A 36-year-old man with recurrent left ear discharge of 30 years duration underwent left canal wall-down mastoidectomy and was discharged well after 3 days. On follow up after 8 more days, he was noted to have House Brackmann IV left facial paralysis. Following 5 days methylprednisolone, neurologic evaluation and physical therapy rehabilitation, facial paralysis improved in the ensuing weeks until House-Brackmann I was achieved at week 12.
Conclusion: Delayed-onset Facial Palsy (DFP) following tympanomastoid surgery may be approached conservatively, including steroids, acyclovir, and, if with a history of herpes or varicella infection, immunization can be given. Prognosis for DFP is good especially when the facial nerve is identified intraoperatively during otologic surgeries

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Published

2023-06-04

How to Cite

1.
Baloco ED, Orosa J. Delayed-Onset Unilateral Facial Paralysis After Mastoidectomy: A Case Report. Philipp J Otolaryngol Head Neck Surg [Internet]. 2023 Jun. 4 [cited 2024 May 21];38(1):50. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/2149