Facial Nerve Paralysis

  • Congenital or acquired dehiscence of the nerve canal
  • It is possibly a result of the inflammatory response within the fallopian canal to acute or chronic otitis media.
  • Tympanic segment is the most common site to be involved.

Diagnosis

  • Clinical: May occur in acute or chronic otitis media
  • CT scan

Treatment

  • Acute otitis media and acute mastoiditis: Cortical mastoidectomy + ventilation tube
  • Chronic otitis media with cholesteatoma: Mastoidectomy ± facial nerve decompression