A Case of Facial Nerve Paralysis Caused by Pediatric Congenital Cholesteatoma
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- Hirai Ryoji
- Nihon University School of Medicine
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- Ikeda Minoru
- Nihon University School of Medicine
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- Nomura Yasuyuki
- Nihon University School of Medicine
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- Shigihara Shuntaro
- Nihon University School of Medicine
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- Kishi Hiroyuki
- Nihon University School of Medicine
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- Omori Hideo
- Nihon University School of Medicine
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- Nakazato Hidefumi
- Nihon University School of Medicine
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- Kukimoto Nobuo
- Nihon University School of Medicine
Bibliographic Information
- Other Title
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- 顔面神経麻痺を生じた小児先天性真珠腫例
- 臨床 顔面神経麻痺を生じた小児先天性真珠腫例
- リンショウ ガンメン シンケイ マヒ オ ショウジタ ショウニ センテンセイ シンジュ シュレイ
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Abstract
We report a rare pediatric case of congenital cholesteatoma initially manifesting as facial paralysis. A 3-year-old boy seen for acute facial palsy had developed left facial paralysis on January 4, 2008, undergoing predonisolone therapy by a local pediatrician from January 10. Upon referred on March 5, facial palsy was a severe Grade V in House-Brackman classification. Middle-ear computed tomography showed soft tissue filling the mastoid antrum through the epitympanic recess to the tympanic cavity. Endoscopic examination identified swelling of the tympanic membrane and a yellowish-white tumor of the tympanic cavity. Based on a diagnosis of congenital cholesteatoma, he underwent surgery under general anesthesia on June 27. The cholesteatoma lesion occupied the tympanic cavity, extending to the aperture of the mastoid antrum. In staged surgery, the exposed facial nerve in the tympanic cavity appeared hyperemic and adjacent to the cholesteatoma lesion. Postoperatively, facial paralysis improved incompletely remaining in Grade III in House-Brackmann classification.<br>
Journal
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- Practica Oto-Rhino-Laryngologica
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Practica Oto-Rhino-Laryngologica 103 (3), 197-200, 2010
The Society of Practical Otolaryngology
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Details 詳細情報について
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- CRID
- 1390282679239575936
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- NII Article ID
- 10026216806
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- NII Book ID
- AN00107089
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- ISSN
- 18844545
- 00326313
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- NDL BIB ID
- 10607802
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed