RESUMO
Peripheral facial paralysis during cochlear implant surgery appears in 0.43 % of adults and 0.39 % of children. Peripheral facial paralysis secondary to acute otitis media is very rare in adults, while the incidence in children remains between 0.19 % and 0.45 %. We present 3 cases of patients who underwent cochlear implant surgery at our department, and who presented peripheral facial paralysis secondary to acute otitis media. The procedure is similar to facial paralysis secondary to acute otitis media in children. Treatment consists of parenteral antibiotic and corticosteroid treatment. Prognosis is favourable, with a total recovery of facial function in 1 or more months.
Assuntos
Implantes Cocleares/efeitos adversos , Paralisia Facial/etiologia , Otite Média/complicações , Otite Média/microbiologia , Infecções Pneumocócicas/complicações , Infecções Pneumocócicas/etiologia , Infecções Relacionadas à Prótese/complicações , Infecções Relacionadas à Prótese/etiologia , Infecções Estafilocócicas/complicações , Infecções Estafilocócicas/etiologia , Doença Aguda , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
La parálisis facial periférica durante la cirugía del implante coclear se presenta en el 0,43 % de los adultos y en el 0,39 % de los niños. La parálisis facial periférica secundaria a otitis media aguda es excepcional en el adulto. En el niño tiene una incidencia del 0,19-0,45 %. Presentamos 3 casos clínicos de pacientes sometidos a cirugía de implante coclear en nuestro servicio, que sufrieron parálisis facial periférica en el contexto de una otitis media aguda. El manejo es semejante a la parálisis facial secundaria a otitis media aguda en el niño. El tratamiento consiste en antibioterapia y corticoterapia parenterales. El pronóstico es bueno, con una recuperación completa de la función facial en uno o varios meses
Peripheral facial paralysis during cochlear implant surgery appears in 0.43 % of adults and 0.39 % of children. Peripheral facial paralysis secondary to acute otitis media is very rare in adults, while the incidence in children remains between 0.19 % and 0.45 %. We present 3 cases of patients who underwent cochlear implant surgery at our department, and who presented peripheral facial paralysis secondary to acute otitis media. The procedure is similar to facial paralysis secondary to acute otitis media in children. Treatment consists of parenteral antibiotic and corticosteroid treatment. Prognosis is favourable, with a total recovery of facial function in 1 or more months