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Parálisis facial periférica
Chronic otitis media usually presents in an ear with chronic discharge otorrhea , or hearing loss, with or without ear pain otalgia. The latter should always be suspicious, as Bell's palsy should not recur. There is no known cause of Bell's palsy,   although it has been associated with herpes simplex infection. Reactivation of latent virus within the dorsal root ganglion of the facial nerve is associated with vesicles affecting the ear canal, and termed Ramsay Hunt syndrome type II. Patients may also present with blood behind the tympanic membrane, sensory deafness, and vertigo ; the latter two symptoms due to damage to vestibulocochlear nerve and the inner ear. While this will inevitably lead to heightened paralysis, safe removal of a malignant neoplasm is worth the often treatable palsy that follows. Typically, benign tumors should be removed in a fashion that preserves the facial nerve, while malignant tumors should always be resected along with large areas of tissue around them, including the facial nerve.
Cómo prevenir y tratar la parálisis facial - Mejor con Salud
Antibiotics are used to control the otitis media, and other options include a wide myringotomy an incision in the tympanic membrane or decompression if the patient does not improve. Most commonly, facial paralysis follows temporal bone fractures, though the likelihood depends on the type of fracture. There is no known cause of Bell's palsy,   although it has been associated with herpes simplex infection. Patients with facial nerve paralysis resulting from tumours usually present with a progressive, twitching paralysis, other neurological signs, or a recurrent Bell's palsy-type presentation.
Facial nerve paralysis
Description: In those cases steroids can be a good help. In patients with mild injuries, management is the same as with Bell's palsy — protect the eyes and wait. Patients may present with blood coming out of the external auditory meatus , tympanic membrane tear, fracture of external auditory canal , and conductive hearing loss. Computed tomography CT or magnetic resonance MR imaging should be used to identify the location of the tumour, and it should be managed accordingly.