Korean J Otorhinolaryngol-Head Neck Surg.
2008 Sep;51(9):829-832.
Delayed Facial Paralysis After Middle Ear and Mastoid Surgery due to Reactivation of Herpes-Zoster Virus
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- 1Department of Otorhinolayrngology-Head and Neck Surgery, Dongguk University College of Medicine, Goyang, Korea. cho69@duih.org
Abstract
- Herpes viral reactivation is thought to be an important etiologic factor in the development of post-operative delayed onset of facial paralysis. The authors present a case of herpes zoster oticus that occurred as a consequence of middle ear and mastoid surgery. The patient was initially misdiagnosed as iatrogenic facial paralysis and treated with oral steroid only. The final diagnosis of herpes zoster oticus was made by the development of herpetic auricular eruption with severe otalgia and the results of positive serological tests. Clinical features, diagnosis and management of this rare case are presented and discussed.
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