Central European Annals of Clinical Research

(ISSN: 2668-7305) Open Access Journal
CEACR 2019, 1(1), 6; doi: 10.35995/ceacr1010006

Facial Nerve Paralysis in a 54-Year-Old Woman with Exacerbated Chronic Suppurative Otitis Media and Chronic Mastoiditis: A Case Report

1 Clinic of Otorhinolaryngology, Emergency and Clinical Municipal Hospital of Timisoara, Timis, Romania; (C.M.B.); (S.C.); (R.M.); (A.K.); (A.C.); (I.C.M.); (M.P.)
2 Faculty of Medicine, “Victor Babes” University of Timisoara, Timis, Romania
* Corresponding author:
* Author to whom correspondence should be addressed.
Received: 22 Nov 2019 / Revised: 14 Dec 2019 / Accepted: 2019-12-14 / Published: 2019-12-25
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ABSTRACT

We present the case of a 54-year old woman diagnosed with chronic suppurative otitis media, who was admitted to the ENT Department with four-week-old, sudden-onset, left-sided facial nerve paralysis, and ipsilateral otalgia and hemicrania. Physical examination revealed positive signs of acute postaural inflammation. The patient’s facial nerve paralysis was scored as VI, according to the House-Brackmann scale. A cranio-facial computer tomography examination revealed mastoid cavity opacification, mucosal hypertrophy, and signs of chronic osteitis, with minimal mucous accumulation. The patient underwent a radical modified mastoidectomy with type-I tympanoplasty to verify the presence of a cholesteatoma, and to remove the offending lesions. Post-operatively, patient evolution was favorable, and prognosis remained encouraging. The patient’s evolution will be followed by check-ups every three months to assess progress and benefits of the treatment.
Keywords: facial nerve paralysis; chronic suppurative otitis; chronic mastoiditis
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
CITE
Boboc, C.M.; Ciocani, S.; Morar, R.; Kis, A.; Chioreanu, A.; Horhat, I.D.; Mot, I.C.; Poenaru, M. Facial Nerve Paralysis in a 54-Year-Old Woman with Exacerbated Chronic Suppurative Otitis Media and Chronic Mastoiditis: A Case Report. CEACR 2019, 1, 6.
Boboc CM, Ciocani S, Morar R, Kis A, Chioreanu A, Horhat ID, Mot IC, Poenaru M. Facial Nerve Paralysis in a 54-Year-Old Woman with Exacerbated Chronic Suppurative Otitis Media and Chronic Mastoiditis: A Case Report. Central European Annals of Clinical Research. 2019; 1(1):6.
Boboc, Christian Mathew; Ciocani, Sonja; Morar, Raluca; Kis, Andreea; Chioreanu, Alexandru; Horhat, Ioana Delia; Mot, Ion Cristian; Poenaru, Marioara. 2019. "Facial Nerve Paralysis in a 54-Year-Old Woman with Exacerbated Chronic Suppurative Otitis Media and Chronic Mastoiditis: A Case Report." CEACR 1, no. 1: 6.
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