Abstract | OBJECTIVE: Report the clinical presentation and outcome of the cases of 13 patients with facial paralysis and acquired middle ear and mastoid cholesteatoma. PATIENTS: INTERVENTIONS: MAIN OUTCOME MEASURES: The type and the timing of surgery, the intraoperative findings, and the postoperative facial nerve results were analyzed and related to the preoperative facial nerve function. RESULTS: All patients treated less than 7 days after the onset of the paralysis showed a normal facial function at long-term follow-up; patients who were operated on 7 days or more after the onset of paralysis showed a variable outcome. Statistical analysis showed a bigger number of House-Brackmann grade I in patients operated on within the first week of paralysis (p = 0.031). CONCLUSION: The prognosis of facial paralysis is related to the time of intervention. Early diagnosis and treatment of cholesteatoma represent, however, the mainstay of treatment.
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Authors | Nicola Quaranta, Michele Cassano, Antonio Quaranta |
Journal | Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
(Otol Neurotol)
Vol. 28
Issue 3
Pg. 405-7
(Apr 2007)
ISSN: 1531-7129 [Print] United States |
PMID | 17414046
(Publication Type: Case Reports, Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Cholesteatoma, Middle Ear
(epidemiology, surgery)
- Decompression, Surgical
(methods)
- Facial Paralysis
(epidemiology, surgery)
- Female
- Follow-Up Studies
- Humans
- Male
- Middle Aged
- Otologic Surgical Procedures
(methods)
- Prevalence
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