Objective:To assess acute otitis media with facial nerve paralysis,its prognosis,and treatment.Methods:It is a retrospective study.Thriteen patients of acute otitis media associated with facial nerve paralysis attende...Objective:To assess acute otitis media with facial nerve paralysis,its prognosis,and treatment.Methods:It is a retrospective study.Thriteen patients of acute otitis media associated with facial nerve paralysis attended the outpatient department of otorhinolaryngology between May 2017 and April 2019.All patients were clinically assessed with appropriate investigations,prognosis,and treatment.Results:Out of 13 patients,2 were identified with complete facial paralysis and the remaining 11 patients presented with incomplete paralysis.Medical treatment including antibiotics and corticosteroids failed,while myringotomy and facial nerve decompression were done with a favorable outcome.Eleven patients recovered to grade-Ⅰ (House-Brackmann) and 2 cases to grade-Ⅱ (House-Brackmann).Conclusion:Peripheral facial nerve paralysis in acute otitis media is rare.Antibiotics and steroids yield good outcome as conservative management.In case of failure by conservative treatment,facial nerve decompression yields a favorable outcome.展开更多
Rationale:Cavernous internal carotid artery(ICA)pseudoaneurysm caused by non-penetrating head trauma is a rare cause of massive epistaxis.The sudden onset of epistaxis due to such a fatal aneurysm protruding into the ...Rationale:Cavernous internal carotid artery(ICA)pseudoaneurysm caused by non-penetrating head trauma is a rare cause of massive epistaxis.The sudden onset of epistaxis due to such a fatal aneurysm protruding into the sphenoid sinus is extremely rare in clinical practice.The management is often challenging because of anatomical inaccessibility of the bleeding point.Patient's concern:A 42-year-old man with a history of head trauma showing an ICA aneurysm eroding the sphenoid sinus followed by massive epistaxis.Diagnosis:A computerized tomography(CT)scan showed a fracture in the sphenoid sinus.CT angiogram revealed cavernous ICA pseudoaneurysm.Interventions:Endovascular coil embolization.Outcomes:The patient recovered well and was discharged without any neurological deficits Lessons:Cavernous ICA pseudoaneurysm may lead to a life-threatening situation.If a patient has a history of head trauma,post-traumatic cavernous ICA pseudoaneurysm should be considered a differential diagnosis of massive epistaxis.展开更多
文摘Objective:To assess acute otitis media with facial nerve paralysis,its prognosis,and treatment.Methods:It is a retrospective study.Thriteen patients of acute otitis media associated with facial nerve paralysis attended the outpatient department of otorhinolaryngology between May 2017 and April 2019.All patients were clinically assessed with appropriate investigations,prognosis,and treatment.Results:Out of 13 patients,2 were identified with complete facial paralysis and the remaining 11 patients presented with incomplete paralysis.Medical treatment including antibiotics and corticosteroids failed,while myringotomy and facial nerve decompression were done with a favorable outcome.Eleven patients recovered to grade-Ⅰ (House-Brackmann) and 2 cases to grade-Ⅱ (House-Brackmann).Conclusion:Peripheral facial nerve paralysis in acute otitis media is rare.Antibiotics and steroids yield good outcome as conservative management.In case of failure by conservative treatment,facial nerve decompression yields a favorable outcome.
文摘Rationale:Cavernous internal carotid artery(ICA)pseudoaneurysm caused by non-penetrating head trauma is a rare cause of massive epistaxis.The sudden onset of epistaxis due to such a fatal aneurysm protruding into the sphenoid sinus is extremely rare in clinical practice.The management is often challenging because of anatomical inaccessibility of the bleeding point.Patient's concern:A 42-year-old man with a history of head trauma showing an ICA aneurysm eroding the sphenoid sinus followed by massive epistaxis.Diagnosis:A computerized tomography(CT)scan showed a fracture in the sphenoid sinus.CT angiogram revealed cavernous ICA pseudoaneurysm.Interventions:Endovascular coil embolization.Outcomes:The patient recovered well and was discharged without any neurological deficits Lessons:Cavernous ICA pseudoaneurysm may lead to a life-threatening situation.If a patient has a history of head trauma,post-traumatic cavernous ICA pseudoaneurysm should be considered a differential diagnosis of massive epistaxis.
