
FACIAL PARALYSIS IN ACUTE OTITIS MEDIA AND THE USE OF PENICILLIN
CAPTAIN EDWARD M. GLASSBURN
Arch Otolaryngol. 1945;41(3):218-219.
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The occurrence of facial paralysis in the course of acute otitis media is a rare and alarming development. The preoperative incidence is reported by Kettel1 to be 0.5 per cent.
The possible causes of the paralysis advanced by Brunner2 are as follows: (1) infection of the nerve by contact; (2) compression of the nerve by hyperemic blood vessels which accompany the nerve; (3) a lymphangitis in the facial nerve canal, or (4) toxic paresis of vasomotor nerves and consequent disturbances in the nutrition of the nerve.
Lederer and Hollender3 in their text and Brunner2 divide cases of facial paralysis occurring in the course of acute otitis media into two groups: (1) those in which the paralysis appears in the first days of the acute otitis, in which the prognosis is good and the treatment that of simple otitis media; (2) those in which the paralysis appears during or after the
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Author Affiliations
MEDICAL CORPS, ARMY OF THE UNITED STATES
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