title: Wegener's granulomatosis causing bilateral facial paralysis and deafness.
abstract: Bilateral facial paralysis (BFP) is an uncommon condition that typically occurs as a manifestation of systemic disease. We present a female patient with Wegener's granulomatosis (WG), particularly upper respiratory and ear impairment who develops hypoacusis and BFP, resistant to immunosuppressive therapy and steroid boluses. Her imaging tests showed no involvement of the facial nerve as it passed through the ear structures. The patient finally improved the BFP; however, deafness is permanent and she has entered into a cochlear implant program. Published papers on BFP are rare and they make no reference to WG as a possible aetiology.
authors.affiliation: Unidad de Gestión Clínica de Otorrinolaringología, Hospital Universitario Virgen del Rocío, Sevilla, Spain. gotoa83@hotmail.com
authors.forename: Antonio
authors.initials: A
authors.lastname: Gómez-Torres
authors.forename: Isabel
authors.initials: I
authors.lastname: Tirado Zamora
authors.forename: Antonio
authors.initials: A
authors.lastname: Abrante Jiménez
authors.forename: Francisco
authors.initials: F
authors.lastname: Esteban Ortega
mesh_terms: D000328:Adult; D003638:Deafness / Q000150:complications*; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications*; D006801:Humans