title: Facial nerve paralysis secondary to acute otitis media in infants and children.
abstract: 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.affiliation: Department of Otolaryngology-Head and Neck Surgery, University of Padua, Italy. gaio.elena@libero.it
authors.forename: E
authors.initials: E
authors.lastname: Gaio
authors.forename: G
authors.initials: G
authors.lastname: Marioni
authors.forename: C
authors.initials: C
authors.lastname: de Filippis
authors.forename: A
authors.initials: A
authors.lastname: Tregnaghi
authors.forename: S
authors.initials: S
authors.lastname: Caltran
authors.forename: A
authors.initials: A
authors.lastname: Staffieri
mesh_terms: D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002442:Ceftazidime / Q000627:therapeutic use; D002648:Child; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010033:Otitis Media / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D011379:Prognosis; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D002442:Ceftazidime