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Peer-reviewedCC BYCase reports in otolaryngology

Recurrent Facial Paralysis in a 3-Month-Old Infant Associated With Acute Otitis Media: A Case Report.

  • Takenao Tei1,2
  • Yoshinori Kadowaki1
  • Ryota Kawano3
  • Yuko Okawa4
  • Osamu Kobayashi4
  • Kenji Ihara4
  • Takashi Hirano1
4 affiliations
  1. 1Department of Otolaryngology Head and Neck Surgery Oita University Faculty of Medicine Idaigaoka 1-1, Hasama-Machi Yufu 879-5593 Oita Japan oita-u.ac.jp.
  2. 2Department of Otolaryngology Oita Prefectural Hospital 2-8-1 Bunyo Oita City 870-8511 Oita Japan.
  3. 3Department of Otolaryngology Head and Neck Surgery Sumitomo Hospital 5-3-20 Nakanoshima, Kita-ku Osaka City 530-0005 Osaka Japan sumitomo-hp.or.jp.
  4. 4Department of Pediatrics Oita University Faculty of Medicine Idaigaoka 1-1, Hasama-Machi Yufu 879-5593 Oita Japan oita-u.ac.jp.
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Abstract

Acute otitis media (AOM) is a common pediatric condition, with facial nerve paralysis (FNP) as a rare complication. It occurs in approximately 0.004%-0.005% of cases. This report presents a unique case of a female infant with recurrent FNP related to AOM who experienced four episodes within the first 3 months of life. The patient was referred to our department at the 34th day of life with facial paralysis linked to left AOM. Treatment with intravenous antibiotics and systemic steroids initially improved FNP. Tympanotomy was performed during the second episode, and a tympanostomy tube was inserted during the third episode. However, left facial paralysis persisted after the fourth episode. Imaging studies showed effusion in the middle ear bilaterally, and a horizontal bone defect and peripheral stenosis of the left facial nerve canal. FNP management in AOM remains a subject of debate, with differing recommendations, especially regarding systemic steroid administration. This case highlights the criticality of considering anatomical factors in pediatric patients presenting with FNP and AOM, underscoring the requirement for further research on effective treatment strategies and understanding the pathophysiology of this rare condition.

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Cite

BibTeXRIS
BibTeX
@article{tei2026recurrent,
  title = {{Recurrent Facial Paralysis in a 3-Month-Old Infant Associated With Acute Otitis Media: A Case Report.}},
  author = {Takenao Tei and Yoshinori Kadowaki and Ryota Kawano and Yuko Okawa and Osamu Kobayashi and Kenji Ihara and Takashi Hirano},
  journal = {Case reports in otolaryngology},
  year = {2026},
  month = nov,
  doi = {10.1155/crot/5367227},
  url = {https://europepmc.org/article/MED/42968931},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Recurrent Facial Paralysis in a 3-Month-Old Infant Associated With Acute Otitis Media: A Case Report.
AU  - Takenao Tei
AU  - Yoshinori Kadowaki
AU  - Ryota Kawano
AU  - Yuko Okawa
AU  - Osamu Kobayashi
AU  - Kenji Ihara
AU  - Takashi Hirano
PY  - 2026
DA  - 2026/11/01
JO  - Case reports in otolaryngology
DO  - 10.1155/crot/5367227
UR  - https://europepmc.org/article/MED/42968931
AB  - Acute otitis media (AOM) is a common pediatric condition, with facial nerve paralysis (FNP) as a rare complication. It occurs in approximately 0.004%-0.005% of cases. This report presents a unique case of a female infant with recurrent FNP related to AOM who experienced four episodes within the first 3 months of life. The patient was referred to our department at the 34th day of life with facial paralysis linked to left AOM. Treatment with intravenous antibiotics and systemic steroids initially improved FNP. Tympanotomy was performed during the second episode, and a tympanostomy tube was inserted during the third episode. However, left facial paralysis persisted after the fourth episode. Imaging studies showed effusion in the middle ear bilaterally, and a horizontal bone defect and peripheral stenosis of the left facial nerve canal. FNP management in AOM remains a subject of debate, with differing recommendations, especially regarding systemic steroid administration. This case highlights the criticality of considering anatomical factors in pediatric patients presenting with FNP and AOM, underscoring the requirement for further research on effective treatment strategies and understanding the pathophysiology of this rare condition.
SN  - 2090-6765
SN  - 2090-6773
ER  -