HSC Section 3 - Trauma, Critical Care and Sleep Medicine

Medical Management of Acute Facial Paralysis

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or sclerotherapy or combined (sclerotherapy 1 surgery)

facial nerve decompression

*Directed IV antibiotic therapy high-dose steroids

carcinoma, consider biopsy Treatment similar to OM Screen for diabetes

Myringotomy mastoidectomy Rule out osteomyelitis and

Congenital Birth trauma Known history Blunt trauma, forceps None Eye care Geniculate ganglion vascular malformation Recurrent FP, vestibulocochlear symptoms if impinging on other CN Venous malformation Magnetic Resonance Imaging (MRI), Computed Tomography (CT) Temporal bones Neurotology evaluation Pontine vascular malformation Headache, seizure, and/or focal neuro deficit Arteriovenous or venous malformation Pontine developmental venous anomaly (DVA) FP, CVA symptoms, Otologic Infectious

audiogram, culture

audiogram, culture

MRI/MRA, angiogram Surgery, embolization,

Bacteria, virus MRI with gadolinium CT temporal bones

MRI with gadolinium CT temporal bones

MRI/CT, audiogram Transmastoid surgery

Otalgia, otorrhea, 1 /- hearing loss (HL) Pseudomonas ,

Methicillin-resistant Staphylococcus Aureus

Cholesteatoma History of OM Nonneoplastic keratinizing

squamous epithelium

Hemorrhage of DVA MRI, angiogram Embolization

otorrhea

(typically asymptomatic)

Acute otitis media Otalgia, hearing loss,

Malignant otitis externa

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