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Vol. 64. Issue 2.
Pages 154-156 (March - April 2013)
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Vol. 64. Issue 2.
Pages 154-156 (March - April 2013)
Case Study
DOI: 10.1016/j.otoeng.2013.04.011
Wegener's Granulomatosis Causing Bilateral Facial Paralysis and Deafness
Granulomatosis de Wegener causante de parálisis facial y cofosis bilaterales
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Antonio Gómez-Torres??
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gotoa83@hotmail.com

Corresponding author.
, Isabel Tirado Zamora, Antonio Abrante Jiménez, Francisco Esteban Ortega
Unidad de Gestión Clínica de Otorrinolaringología, Hospital Universitario Virgen del Rocío, Sevilla, Spain
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Abstract

Bilateral facial paralysis (BFP) is an uncommon condition that typically occurs as a manifestation of systemic disease. We present a female patient with Wegener's granulomatosis (WG), particularly upper respiratory and ear impairment who develops hypoacusis and BFP, resistant to immunosuppressive therapy and steroid boluses. Her imaging tests showed no involvement of the facial nerve as it passed through the ear structures. The patient finally improved the BFP; however, deafness is permanent and she has entered into a cochlear implant programme. Published papers on BFP are rare and they make no reference to WG as a possible aetiology.

Keywords:
Wegener's granulomatosis
Otitis
Bilateral facial paralysis
Resumen

La parálisis facial bilateral (PFB) es una entidad infrecuente, que habitualmente se presenta como manifestación de una enfermedad sistémica. Presentamos el caso de una mujer afecta de granulomatosis de Wegener (GW), con especial afectación de las vías respiratorias altas y ótica, que desarrolló hipoacusia y PFB resistente a tratamientos inmunosupresores y bolos de corticoides, con pruebas de imagen que no muestran afectación del nervio facial en las estructuras óticas. Finalmente, la paciente mejoró de la PFB, pero la cofosis es permanente y se ha realizado un implante coclear. Las series publicadas sobre PFB son escasas, y no hacen referencia a la GW como posible etiología.

Palabras clave:
Enfermedad de Wegener
Otitis
Parálisis facial bilateral

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