Conservative treatment, antibiotics and corticosteroids, is recommended as initial treatment for facial nerve paralysis following otitis media. Myringotomy and a ventilation tube should only be done in the absence of spontaneous perforation of the tympanic membrane.
Mastoidectomy should only be performed when necessary to treat otitis media, and facial nerve decompression should not be necessary, say researchers.
This protocol is recommended by investigators at the University of Padua, in Italy, following a retrospective chart review to define a standard therapy for facial nerve paralysis secondary to otitis media. This is an acknowledged rare pathologic condition, they say.
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