Late onset of facial nerve palsy after tympanomastoidectomy: HSV-1 activation?

Yıl 2015, Cilt: 1 Sayı: 1, 29 - 32, 04.03.2015

Davut Akduman Mehmet Haksever Fevzi Solmaz Fehmi Doner

https://doi.org/10.18621/eurj.2015.1.1.29

Öz

We present a case right peripheral facial palsy occurred 7 days after an operation. A 42-year-old female patient had an uneventful right tympanomastoidectomy in our clinic.  She developed right Hause-Brackmann Grade II peripheral facial palsy postoperative at the 7^th day. A viral screen was performed using an Enzyme Immuneassay. Herpes Simplex Virus -1 specific antibody titer was determined on the 2^nd day of facial palsy, confirming the viral etiology. She was commenced on steroid therapy. Her facial nerve functions recovered completely after one week.

Anahtar Kelimeler

Facial palsy, tympanomastoidectomy, HSV-1

Kaynakça

• Vrabec JT. Delayed facial palsy after tympanomastoid surgery. Am J Otol. 1999;20(1):26-30.
• Bonkowsky V, Kochanowski B, Strutz J, Pere P, Hosemann W, Arnold W. Delayed facial palsy following uneventful middle ear surgery: a herpes simplex virus type 1 reactivation? Ann Otol Rhinol Laryngol. 1998;107(11 Pt 1):901-5.
• Safdar A, Gendy S, Hilal A, Walshe P, Burns H. Delayed facial nerve palsy following tympano-mastoid surgery: incidence, aetiology and prognosis. J Laryngol Otol. 2006;120(9):745-8.
• Sheahan P, Viani L. Delayed facial palsy in a patient with a bifid facial nerve lending support for viral theory of facial palsy. Otol Neurotol. 2007;28(3):414-6.
• Shea JJ, Jr., Ge X. Delayed facial palsy after stapedectomy. Otol Neurotol. 2001;22(4):465-70.
• Thorne MC, Dunham BP, Tom LW. Delayed facial paresis following tympanomastoid surgery in a pediatric patient. Ear Nose Throat J. 2010;89(8):357-61.
• Murakami S, Mizobuchi M, Nakashiro Y, Doi T, Hato N, Yanagihara N. Bell palsy and herpes simplex virus: identification of viral DNA in endoneurial fluid and muscle. Ann Intern Med. 1996;124(1 Pt 1):27-30.
• Turner MT, Nayak S, Kuhn M, Roehm PC. The effects of dexamethasone and acyclovir on a cell culture model of delayed facial palsy. Otol Neurotol. 2014;35(4):712-8.
• De Diego JI, Prim MP, De Sarria MJ, Madero R, Gavilan J. Idiopathic facial paralysis: a randomized, prospective, and controlled study using single-dose prednisone versus acyclovir three times daily. Laryngoscope. 1998;108(4 Pt 1):573-5.
• May M, Schlaepfer WM. Bell's palsy and the chorda tympani nerve: a clinical and electron microscopic study. Laryngoscope. 1975;85(12 pt 1):1957-75.
• Althaus SR, House HP. Delayed post-stapedectomy facial paralysis: a report of five cases. Laryngoscope. 1973;83(8):1234- 40.
• Adour KK, Byl FM, Hilsinger RL, Jr., Kahn ZM, Sheldon MI. The true nature of Bell's palsy: analysis of 1,000 consecutive patients. Laryngoscope. 1978;88(5):787-801.