Facial paralysis.

Facial Nerve Paralysis in a 54-Year-Old Woman with Exacerbated Chronic Suppurative Otitis Media and Chronic Mastoiditis: A Case Report

“…Generally, patients with non-cholesteatomatous CSOM and associated facial nerve paralysis fare better than those with cholesteatomatous CSOM and associated facial nerve paralysis. Similarly, cases in which surgical treatment is delayed by more than four weeks have a poorer prognosis of facial nerve recovery than those which receive early treatment [7].…”

“…Patient suffering from acute otitis media with associated facial nerve paralysis generally fare better than chronic patients, rarely requiring surgical decompression of the nerve. As with most nerve lesions, prompt treatment provides the most favorable outcome [7].…”

Paralisia facial bilateral

“…-Rontal e Sigel 36 referem-se à meningite como causa de paralisia facial bilateral, porém não tecem considerações a respeito. Miller 32 , estudando o trajeto do facial pelo ângulo pontocerebelar, destaca que, no mencionado sítio, a paralisia é freqüentemente bilateral, podendo ocorrer em várias meningites crônicas. Garcia Fernandez 18 , descrevendo o quadro clínico da meningoencefalite luética -sabidamente de natureza crônica -diz que as paralisias dos nervos cranianos afetam a um ou vários (tendo já sido assinaladas em todos) e podem ser uni ou bilaterais.…”

Facial nerver decompression

“…The advocates of surgical decompression have been many (4-19, 33, 38) and have constituted largely specialists in the field of Otolaryngology. Miller (1967) (20), however, stated that to that time there had been no scientifically valid evidence of the efficacy of surgical treatment in Bell's palsy. A similar view was later expressed by Taverner (21), and Amiri (1970) (22) questioned the value of facial nerve decompression in late cases of Bell's palsy.…”