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Facial Nerve Palsy with Acute Otitis Media During the First 2 Weeks of Life

Department of Pediatrics, American University of Beirut, Beirut, Lebanan

Mohamed A. El-Bitar, MD

Department of Otolaryngology-Head and Neck Surgery, American University of Beirut, Beirut, Lebanan

Ghassan M. Matar, PhD

Department of Microbiology and Immunology, American Unveristy of Beirut Beirut, Lebanan

Kamal G. Saad, MD

University Health Services, American Unveristy of Beirut Heirul, Lebanan

Mohamad A. Mikati, MD

Department of Pediatrics American University of Beirut Beirut, Lebanon, mamikati{at}aub.edu.lb

A full-term male newborn presented to us at the age of 2 weeks with left facial weakness that had started at the age of 4 days and steadily progressed over a 10-day period. Physical examination revealed a complete unilateral left peripheral facial nerve paralysis, with an erythematous dull and bulging left tympanic membrane. Computed tomography and magnetic resonance imaging were normal. The patient underwent left myringotomy and placement of a pneumatic equalization tube within 24 hours of presentation. He also received a 5-day course of prednisone and a 2-week course of antibiotics and acyclovir. Improvement of the facial paralysis was rapid, with near-complete resolution at the time of discharge home and complete resolution 6 weeks later. To our knowledge, this is the only reported case of acute otitis media with associated facial nerve palsy in a newborn during the first 2 weeks of life. (J Child Neurol 2005;20:452—454).

Journal of Child Neurology, Vol. 20, No. 5, 452-454 (2005)
DOI: 10.1177/08830738050200050901


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