Acute otitis media-related facial nerve palsy in a child: a case report and a literary review.
Acute otitis media
Children
Epstein-Barr virus
Facial nerve palsy
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
14 Jan 2023
14 Jan 2023
Historique:
received:
25
07
2022
accepted:
28
12
2022
entrez:
14
1
2023
pubmed:
15
1
2023
medline:
18
1
2023
Statut:
epublish
Résumé
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. 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. 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.
Sections du résumé
BACKGROUND
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
METHODS
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
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.
Identifiants
pubmed: 36641446
doi: 10.1186/s13052-022-01405-4
pii: 10.1186/s13052-022-01405-4
pmc: PMC9840536
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Case Reports
Review
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
8Subventions
Organisme : Italian Ministry Of health
ID : Italian Ministry Of health
Informations de copyright
© 2023. The Author(s).
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