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CASE REPORTS
JOURNAL ARTICLE
Facial paralysis associated with cholesteatoma: a review of 13 cases.
Otology & Neurotology 2007 April
OBJECTIVE: Report the clinical presentation and outcome of the cases of 13 patients with facial paralysis and acquired middle ear and mastoid cholesteatoma.
PATIENTS: Patients with acquired cholesteatoma of the middle ear presenting with facial paralysis.
INTERVENTIONS: Surgical treatment of the cholesteatoma and decompression of the facial nerve.
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.
PATIENTS: Patients with acquired cholesteatoma of the middle ear presenting with facial paralysis.
INTERVENTIONS: Surgical treatment of the cholesteatoma and decompression of the facial nerve.
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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