Surgical Treatment for Epstein-Barr Virus Otomastoiditis Complicated by Facial Nerve Paralysis: A Case Report of Two Young Brothers and Review of Literature.
J Int Adv Otol
; 13(1): 143-146, 2017 Apr.
Article
in En
| MEDLINE
| ID: mdl-28555605
ABSTRACT
We report the case of two young brothers with Epstein-Barr virus (EBV) otomastoiditis complicated by a facial nerve paralysis. The boys, aged 7 months (patient A) and 2 years and 8 months (patient B), were diagnosed with a facial nerve paralysis House-Brackmann (HB) grade IV (A) and V (B). After unsuccessful pharmacological treatment, patient A underwent mastoidectomy and atticoantrotomy and patient B underwent a transmastoidal surgical decompression of the facial nerve. They recovered to HB grades I and II facial nerve palsy (FNP), respectively. Although rare and relatively unknown, EBV should be considered in the differential diagnosis of children with FNP of unknown cause. Surgical intervention may be a viable therapy with good recovery.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Otitis
/
Epstein-Barr Virus Infections
/
Siblings
/
Facial Paralysis
/
Mastoid
/
Mastoiditis
Type of study:
Diagnostic_studies
Limits:
Child, preschool
/
Humans
/
Infant
/
Male
Language:
En
Journal:
J Int Adv Otol
Year:
2017
Document type:
Article
Affiliation country:
Netherlands