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Late onset of facial nerve palsy after tympanomastoidectomy: HSV-1 activation?

Year 2015, Volume: 1 Issue: 1, 29 - 32, 04.03.2015
https://doi.org/10.18621/eurj.2015.1.1.29

Abstract

We present a case right peripheral facial palsy occurred 7 days after an operation. A 42-year-old female patient had an uneventful right tympanomastoidectomy in our clinic.  She developed right Hause-Brackmann Grade II peripheral facial palsy postoperative at the 7th day. A viral screen was performed using an Enzyme Immuneassay. Herpes Simplex Virus -1 specific antibody titer was determined on the 2nd day of facial palsy, confirming the viral etiology. She was commenced on steroid therapy. Her facial nerve functions recovered completely after one week.

References

  • Vrabec JT. Delayed facial palsy after tympanomastoid surgery. Am J Otol. 1999;20(1):26-30.
  • Bonkowsky V, Kochanowski B, Strutz J, Pere P, Hosemann W, Arnold W. Delayed facial palsy following uneventful middle ear surgery: a herpes simplex virus type 1 reactivation? Ann Otol Rhinol Laryngol. 1998;107(11 Pt 1):901-5.
  • Safdar A, Gendy S, Hilal A, Walshe P, Burns H. Delayed facial nerve palsy following tympano-mastoid surgery: incidence, aetiology and prognosis. J Laryngol Otol. 2006;120(9):745-8.
  • Sheahan P, Viani L. Delayed facial palsy in a patient with a bifid facial nerve lending support for viral theory of facial palsy. Otol Neurotol. 2007;28(3):414-6.
  • Shea JJ, Jr., Ge X. Delayed facial palsy after stapedectomy. Otol Neurotol. 2001;22(4):465-70.
  • Thorne MC, Dunham BP, Tom LW. Delayed facial paresis following tympanomastoid surgery in a pediatric patient. Ear Nose Throat J. 2010;89(8):357-61.
  • Murakami S, Mizobuchi M, Nakashiro Y, Doi T, Hato N, Yanagihara N. Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med. 1996;124(1 Pt 1):27-30.
  • Turner MT, Nayak S, Kuhn M, Roehm PC. The effects of dexamethasone and acyclovir on a cell culture model of delayed facial palsy. Otol Neurotol. 2014;35(4):712-8.
  • De Diego JI, Prim MP, De Sarria MJ, Madero R, Gavilan J. Idiopathic facial paralysis: a randomized, prospective, and controlled study using single-dose prednisone versus acyclovir three times daily. Laryngoscope. 1998;108(4 Pt 1):573-5.
  • May M, Schlaepfer WM. Bell's palsy and the chorda tympani nerve: a clinical and electron microscopic study. Laryngoscope. 1975;85(12 pt 1):1957-75.
  • Althaus SR, House HP. Delayed post-stapedectomy facial paralysis: a report of five cases. Laryngoscope. 1973;83(8):1234- 40.
  • Adour KK, Byl FM, Hilsinger RL, Jr., Kahn ZM, Sheldon MI. The true nature of Bell's palsy: analysis of 1,000 consecutive patients. Laryngoscope. 1978;88(5):787-801.
Year 2015, Volume: 1 Issue: 1, 29 - 32, 04.03.2015
https://doi.org/10.18621/eurj.2015.1.1.29

Abstract

References

  • Vrabec JT. Delayed facial palsy after tympanomastoid surgery. Am J Otol. 1999;20(1):26-30.
  • Bonkowsky V, Kochanowski B, Strutz J, Pere P, Hosemann W, Arnold W. Delayed facial palsy following uneventful middle ear surgery: a herpes simplex virus type 1 reactivation? Ann Otol Rhinol Laryngol. 1998;107(11 Pt 1):901-5.
  • Safdar A, Gendy S, Hilal A, Walshe P, Burns H. Delayed facial nerve palsy following tympano-mastoid surgery: incidence, aetiology and prognosis. J Laryngol Otol. 2006;120(9):745-8.
  • Sheahan P, Viani L. Delayed facial palsy in a patient with a bifid facial nerve lending support for viral theory of facial palsy. Otol Neurotol. 2007;28(3):414-6.
  • Shea JJ, Jr., Ge X. Delayed facial palsy after stapedectomy. Otol Neurotol. 2001;22(4):465-70.
  • Thorne MC, Dunham BP, Tom LW. Delayed facial paresis following tympanomastoid surgery in a pediatric patient. Ear Nose Throat J. 2010;89(8):357-61.
  • Murakami S, Mizobuchi M, Nakashiro Y, Doi T, Hato N, Yanagihara N. Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med. 1996;124(1 Pt 1):27-30.
  • Turner MT, Nayak S, Kuhn M, Roehm PC. The effects of dexamethasone and acyclovir on a cell culture model of delayed facial palsy. Otol Neurotol. 2014;35(4):712-8.
  • De Diego JI, Prim MP, De Sarria MJ, Madero R, Gavilan J. Idiopathic facial paralysis: a randomized, prospective, and controlled study using single-dose prednisone versus acyclovir three times daily. Laryngoscope. 1998;108(4 Pt 1):573-5.
  • May M, Schlaepfer WM. Bell's palsy and the chorda tympani nerve: a clinical and electron microscopic study. Laryngoscope. 1975;85(12 pt 1):1957-75.
  • Althaus SR, House HP. Delayed post-stapedectomy facial paralysis: a report of five cases. Laryngoscope. 1973;83(8):1234- 40.
  • Adour KK, Byl FM, Hilsinger RL, Jr., Kahn ZM, Sheldon MI. The true nature of Bell's palsy: analysis of 1,000 consecutive patients. Laryngoscope. 1978;88(5):787-801.
There are 12 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Davut Akduman

Mehmet Haksever

Fevzi Solmaz This is me

Fehmi Doner This is me

Publication Date March 4, 2015
Submission Date December 3, 2014
Acceptance Date February 8, 1015
Published in Issue Year 2015 Volume: 1 Issue: 1

Cite

AMA Akduman D, Haksever M, Solmaz F, Doner F. Late onset of facial nerve palsy after tympanomastoidectomy: HSV-1 activation?. Eur Res J. March 2015;1(1):29-32. doi:10.18621/eurj.2015.1.1.29

e-ISSN: 2149-3189 


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