HOMEPRODUCTSCOMPANYCONTACTFAQResearchDictionaryPharmaSign Up FREE or Login

Delayed facial paralysis after stapedotomy using KTP laser.

AbstractOBJECTIVE:
Delayed facial paralysis after stapes surgery is uncommon and has been reported after traditional, nonlaser techniques for stapedotomy. The purpose of this paper is to inform the reader of the potential risk of delayed facial nerve paralysis associated with the use of the potassium titanyl phosphate (KTP) laser for stapedotomy. Etiologic mechanisms are discussed.
STUDY DESIGN:
The study was a descriptive study-case report.
SETTING:
The study was conducted at a university-based otologic practice.
PATIENTS:
Two patients with otosclerosis and delayed onset facial palsy 5 to 7 days after uncomplicated stapedotomy using the KTP laser were included in the study.
INTERVENTION:
Potassium titanyl phosphate laser stapedotomy was performed. Patients received treatment of facial palsy with a tapering course of oral steroids.
MAIN OUTCOME MEASURE:
House-Brackmann facial nerve grade scores were used.
RESULTS:
Improvement of House-Brackmann facial nerve scores from Grade VI to Grade I-II in one patient, and improvement from Grade IV to Grade I-II in the other was seen.
CONCLUSION:
The probable etiology of delayed facial palsy is viral neuritis from reactivation of dormant virus within the facial nerve, initiated by thermal stress of the KTP laser. Presentation and resolution of the facial palsy is similar to other types of delayed facial palsy resulting from nonlaser techniques of stapes surgery and other types of middle ear and neurotologic surgeries previously reported.
AuthorsM Ng, D R Maceri
JournalThe American journal of otology (Am J Otol) Vol. 20 Issue 4 Pg. 421-4 (Jul 1999) ISSN: 0192-9763 [Print] United States
PMID10431880 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Phosphates
Topics
  • Facial Nerve (microbiology)
  • Facial Paralysis (diagnosis, etiology)
  • Female
  • Herpes Zoster (complications)
  • Humans
  • Laser Therapy (methods)
  • Male
  • Middle Aged
  • Neuritis (microbiology)
  • Otosclerosis (surgery)
  • Phosphates (therapeutic use)
  • Postoperative Complications (diagnosis, etiology)
  • Stapes Surgery (methods)
  • Time Factors

Join CureHunter, for free Research Interface BASIC access!

Take advantage of free CureHunter research engine access to explore the best drug and treatment options for any disease. Find out why thousands of doctors, pharma researchers and patient activists around the world use CureHunter every day.
Realize the full power of the drug-disease research graph!


Choose Username:
Email:
Password:
Verify Password:
Enter Code Shown: