Facial Nerve Hematoma After Penetrating Middle Ear Trauma: A Cause of Delayed Facial Palsy.

Abstract:

:Penetrating middle ear injury may cause hearing loss, vertigo, or facial nerve injury, although facial nerve paralysis followed by head trauma is a rare condition. In this study, we report a case of a 3-year-old patient with delayed facial palsy on the left side that developed 4 days after an accidental tympanic membrane perforation caused by a cotton-tipped swab. Otoendoscopic examination revealed a perforation in the posterosuperior quadrant of the tympanic membrane. Audiometry revealed no hearing loss on the injured side, and eye movement examination did not reveal spontaneous or positional nystagmus. Pre- and postcontrast T1-weighted magnetic resonance imaging demonstrated high signal intensity along the tympanic portion of the fallopian canal, which suggested that hemorrhage within the facial canal may be a cause of delayed facial palsy. It can be assumed that traumatic injury at the dehiscent facial nerve in the tympanic portion caused hematoma within the fallopian canal, resulting in delayed facial nerve palsy.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Han K,Roh HG,Shin JE,Kim CH

doi

10.1097/PEC.0000000000001875

subject

Has Abstract

pub_date

2019-07-25 00:00:00

eissn

0749-5161

issn

1535-1815

pub_type

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