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Open Access 01-12-2023 | Facial Palsy | Case report

Acute otitis media-related facial nerve palsy in a child: a case report and a literary review

Authors: Massimo Luca Castellazzi, Sara Torretta, Giada Maria Di Pietro, Annaclara Ciabatta, Pasquale Capaccio, Luca Caschera, Paola Marchisio

Published in: Italian Journal of Pediatrics | Issue 1/2023

Abstract

Background

Acute otitis media has become a rare cause of facial palsy in children. A high index of suspicion is essential to achieve the diagnosis and to properly treat this condition to avoid permanent neurological sequelae.

Case presentation

A case of acute otitis media-related facial nerve palsy in an 18 months-old child is described and a review of the recent literature about the clinical presentation, diagnosis, and management of this condition is performed.

Conclusions

Facial paralysis is an uncommon complication of acute otitis media that requires appropriate care. As highlighted in our report, the treatment of facial nerve palsy secondary to otitis media should be conservative, using antibiotics and corticosteroids. The role of antiviral is still a matter of debate. Myringotomy and a ventilation tube should be added when spontaneous perforation of the tympanic membrane is not present. More aggressive surgical approach should be considered only when there is no significant improvement.

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Title: Acute otitis media-related facial nerve palsy in a child: a case report and a literary review
Authors: Massimo Luca Castellazzi
Sara Torretta
Giada Maria Di Pietro
Annaclara Ciabatta
Pasquale Capaccio
Luca Caschera
Paola Marchisio
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Facial Palsy
Acute Otitis Media
Epstein-Barr Virus
Published in: Italian Journal of Pediatrics / Issue 1/2023
Electronic ISSN: 1824-7288
DOI: https://doi.org/10.1186/s13052-022-01405-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Acute otitis media-related facial nerve palsy in a child: a case report and a literary review

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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