Clinical Features,Diagnosis and Treatment of Peripheral Facial Paralysis Following Middle Ear Surgery:A Report of 8 Cases
HE Xingchen
LAI Yubin
LIU Hongsheng
YANG Runqin
LI Rui
DU Miaomiao
ZHA Dingjun
HAN Yu
Abstract：Objective To summarize the etiology,clinical features,diagnosis and treatment of peripheral facial paralysis following middle ear surgery for inflammatory diseases.Methods Data from 8 patients who experienced post-operative peripheral facial paralysis after middle ear surgery for inflammatory diseases at the Xijing Hospital from Janu-ary 2018 to June 2021 were reviewed for the cause of facial paralysis,intraoperative facial nerve condition and out-comes of facial paralysis treatment.Results Of the 8 cases,delayed facial palsy was seen in 6,infection as potential cause in 1 and antineutrophil cytoplasmic antibody-associated vasculitis in 1.Four cases had complete facial nerve canal was.The facial nerve intact in 4 cases.Management included conservative treatments in 6 cases,conservative treatment combined with surgery in 1 case,and immunotherapy in 1 case.Facial paralysis lasted from 5 days to 3 years.At the writing of this report,facial function recovered to Grade HB I in 6 cases and Grade HB II in 2 cases.Conclusion Pe-ripheral facial palsy is one of the rare complications after middle ear surgery,with delayed facial palsy being the most common and often responsive to conservative treatments.However,facial paralysis can be attributed to postoperative cavity infection,residual lesions or recurrence with facial neuritis in some patients.Occasionally,immune-related diseas-es can be the cause.Management include identification of the cause,accurate diagnosis and targeted treatments.
Keywords：peripheral facial paralysismiddle ear inflammationsurgerydiagnosistreatment
Publication Date：2024-02-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 88-92 )