Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-19T06:57:57.916Z Has data issue: false hasContentIssue false
  • English
  • Français

Non-cholesteatomatous suppurative otitis media: facial nerve palsy in an immunocompromised patient

Published online by Cambridge University Press:  29 June 2007

C. Hartley ,
S. R. Saeed  and
T. J. Lyons
C. Hartley*
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK.
S. R. Saeed
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK.
T. J. Lyons
Affiliation:
University Department of Otolaryngology, Manchester Royal Infirmary, Manchester, UK.
*
Mr C. Hartley, 39 Beech Road, Cale Green, Stockport, Cheshire SK3 8HD
Get access Rights & Permissions [Opens in a new window]

Abstract

A 47-year-old man developed a complete facial nerve palsy secondary to non-cholesteatomatous suppurative otitis media. At operation, this was seen to be due to destruction of the nerve from halfway along the horizontal segment to a point just distal to the second genu. The history of recent renal transplantation and subsequent immunosuppression was judged to be significant in the pathogenesis of the palsy.

Keywords

Otitis media, suppurativeFacial paralysisImmunosuppression
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 8 , August 1995 , pp. 755 - 758
Copyright
Copyright © JLO (1984) Limited 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ahn, J. M., Huang, C. C., Abramson, M. (1990) Tnterleukin-I causing bone destruction in middle ear cholesteatoma. Otolaryngology–Head and Neck Surgery 103: 527–536.Google Scholar
Browning, G. G. (1987) Pathology of inflammatory conditions of the external and middle ear. In: Scott-Brown's Otolaryngology. 5th Edition. (Kerr, A. G., Booth, J. B., eds.), Butterworths, London, pp 53–87.Google Scholar
Cheshire, I. R., Blight, A., Ratcliffe, W. A., Proops, D. W., Heath, D. A. (1991) Production of parathyroid-hormonerelated protein by cholesteatoma cells in culture. Lancet 338: 1041–1043.CrossRefGoogle Scholar
Chole, R. A. (1988) Osteoclasts in chronic otitis media, cholesteatoma and otosclerosis. Annals of Otology, Rhinology and Laryngology 97: 661–666.CrossRefGoogle ScholarPubMed
De Paep, K., Offeciers, F. E., Van de Heyning, P., Claes, J., Marquet, J. (1989) Tuberculosis in the middle ear: five case reports. Acta Oto-Rhino-Laryngologica Belgica 43: 321–326.Google Scholar
Djeric, D., Savic, D. (1989) Characteristics of a pathological process in the destroyed tympanic part of the facial canal in chronic otitis media with cholesteatoma. Revue De Layngologie, Otologie, Rhinologie 110: 449–451.Google Scholar
Djeric, D., Savic, D. (1990) Otogenic facial paralysis. A histopathological study. European Archives of Oto-RhinoLaryngology 247: 143–146.CrossRefGoogle ScholarPubMed
Harker, L. A., Pignatari, S. S. (1992) Facial nerve paralysis secondary to chronic otitis media without cholesteatoma. American Journal of Otology 13: 372–374.Google ScholarPubMed
Kurihara, A., Toshima, M., Yuasa, R., Takasaka, T. (1991) Bone destruction mechanisms in chronic otitis media with cholesteatoma: specific production by cholesteatoma tissue in culture of bone-resorbing activity attributable to Interleukin-I-alpha. Annals of Otology, Rhinology and Laryngology 100: 989–998.CrossRefGoogle Scholar
Lindstrom, C. J., Pincus, R. L., Leavitt, E. B., Urbina, M. C. (1993) Otologic neuro-otologic manifestations of HIVrelated disease. Otolaryngology-Head and Neck Surgery 108: 680–687.CrossRefGoogle Scholar
May, M. (1987) Disorders of the facial nerve. In: Scott-Brown's Otolaryngology. 5th Edition. (Kerr, A. G., Booth, J. B., eds.), Butterworths, London, pp 560–601.Google Scholar
Mayot, D., Bene, M. C., Faure, G. C., Wayoff, M., Perrin, C. (1991) Immunohistologic analysis of the cholesteatoma matrix in children. International Journal of Pediatric Otorhinolaryngology 22: 115–124.Google Scholar
McGinn, M. D., Chole, A., Tinling, S. P. (1986) Bone resorption induced by middle ear implants. Archives of Otolaryngology, Head and Neck Surgery 112: 635–641.CrossRefGoogle ScholarPubMed
Premachandra, D. J., Radcliffe, G. (1989) Bilateral facial palsy following secretory otitis media. Journal of Laryngology and Otology 103: 685.Google Scholar
Savic, D. L. J., Djeric, D. R. (1989) Facial paralysis in chronic suppurative otitis media. Clinical Otolaryngology 14: 515–517.CrossRefGoogle ScholarPubMed
Schilling, V., Bujia, J., Negri, B., Kastenbauer, E. (1992) lnterleukin-I-containing cells in cholesteatoma of the middle ear (abstract). Laryngo-Rhino-Otologie 71: 271–275.CrossRefGoogle Scholar
Sherwen, P. J., Thong, N. C. (1987) Bilateral facial nerve palsy. Journal of Otolaryngology 16: 28–33.Google ScholarPubMed
Takahashi, H., Nakamura, H., Yui, M., Mon, H. (1985) Analysis of 50 cases of facial palsy due to otitis media. Archives of Oto-Rhino-Laryngology 241: 163–168.Google Scholar
Thomsen, J., Jorgensen, M. B., Bretlau, P., Kristensen, H. K. (1974) Bone resorption in chronic otitis media. A histological and ultrastructural study. II: Cholesteatoma. Journal of Laryngology and Otology 88: 983–992.CrossRefGoogle Scholar
Thomsen, J., Bretlau, P., Balslev-Joorgensen, M. (1981) Bone resorption in chronic otjtis media. The role of cholesteatoma, a must or an adjunct? Clinical Otolaryngology 6: 179–186.Google Scholar
Wells, M. D., Michaels, L. (1991) Mode of growth of acquired cholesteatoma. Journal of Laryngology and Otology 105: 261–267.CrossRefGoogle ScholarPubMed