Postoperative Delayed Facial Nerve Palsy: A Surgeon's Nightmare

Cureus. 2024 Apr 21;16(4):e58691. doi: 10.7759/cureus.58691. eCollection 2024 Apr.

Abstract

The facial nerve supplies motor, sensory, and parasympathetic innervation to the head and neck, and its paralysis can have significant physical and psychological impacts. This study discusses a compelling case involving a 21-year-old male who developed delayed facial nerve palsy (DFNP) on the eighth day after cortical mastoid surgery. Through conservative management, the patient achieved a full recovery by the 52nd day. Our experience underscores the importance of approaching DFNP with patience, emphasizing the need for thorough counseling of both the patient and their family members.

Keywords: cortical mastoidectomy; csom: chronic suppurative otitis media; delayed facial nerve palsy; postop complication; steroid treatment.

Publication types

  • Case Reports