In the modern otologist's office practice, complete facial paralysis and otitis externa present 2 extremes in diagnosis and frequency of occurrence. Facial paralysis is seen very infrequently, while external otitis is seen very commonly—the combination is rare. A search of the literature fails to reveal any reports specifically indicating a causal relationship of an external otitis complicated by mastoiditis and facial paralysis. While we are certain that other cases of the type which we are about to report have occurred, we have been unable to locate such reports in any of the journals, nor have any of the tracing agencies been able to report any such cases to us. Therefore, we feel that it is worthwhile presenting a case of complete facial paralysis secondary to self-induced external otitis with subsequent involvement of
the mastoid bone and a development of complete facial paralysis.
External otitis is a relatively common condition, found
STEINBERG N, HOLZ WG, IPPOLITO C. Facial Nerve Paralysis and MastoiditisSecondary to Otitis Externa. Arch Otolaryngol. 1962;76(3):222–226. doi:10.1001/archotol.1962.00740050230006