Facial nerve palsy and erosion of vital intratemporal structures can occur as a result of pressure erosion of the bony EAC and adjacent structures.
Sarella et al [8] reported one case of
facial nerve palsy during third trimester of pregnancy.
In addition to malignancy, autoimmune conditions such as granulomatosis with polyangiitis and sarcoidosis and immunodeficiency conditions should also be considered in the differential diagnosis of cases of refractory chronic otitis media with
facial nerve palsy. Delay in management of such cases usually occurs due to a low index of suspicion of the treating physician.
Differential diagnosis of
facial nerve palsy. Otolaryngol Clin North Am.
Botulinum toxin to improve lower facial symmetry in
facial nerve palsy. Eye (Lond).
HBS has been mostly widely used in studies of peripheral
facial nerve palsy in recent years.
The infant was clinically diagnosed to have
facial nerve palsy on the left side.
Before concurrent radiotherapy and chemotherapy, a total parotidectomy is recommended as a treatment for metastasis of parotid glands in literature because facial nerve function may not be preserved well enough under unsatisfactory locoregional control; on the other hand, if the facial nerve has been involved in a metastatic NPC lesion of parotid glands, radiotherapy deserves consideration before surgery because more or less postoperative
facial nerve palsy might be inevitable after surgical intervention.
Marked athetoid writhing of the trunk, arms and legs - worse distally and with eyes closed, disappearing while asleep; an ataxic, wide-based gait with left foot drop (power 2/5); a complete right peripheral
facial nerve palsy; right-sided fixed-flexion deformity of the first, third and fourth digits and fixed extension of the wrist (Figure 1); anaesthesia of the lower limbs to the level of the mid-tibia, with preservation of sensation on the dorsum of the right foot and loss of proprioception and vibration in the upper limbs to the elbow and in the left lower limb to the knee.
Physical treatment of peripheral
facial nerve palsy comprises superficial heat therapy (hot pack or infrared), electrical stimulation, massage, exercise, and biofeedback training.