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April 1938


Author Affiliations

From Dr. Coates' Otologic Service at the Graduate Hospital of the University of Pennsylvania and Oto-Rhinological Service 2 of the Mount Sinai Hospital.

Arch Otolaryngol. 1938;27(4):395-401. doi:10.1001/archotol.1938.00650030406001

The discussion of facial palsy in this presentation will be confined to the cases in which the otitic background is the etiologic factor. This factor may be localized in the middle ear, in the mastoid process or in both. Furthermore, it may be a complication of an acute suppurative process, a chronic suppurative process or an acute exacerbation of an old chronic suppurative mastoiditis.

One may further classify facial palsy as preoperative or postoperative.

The term "facial palsy" is used to signify palsy arising from some cause such as a suppurative or a necrotic process either in the mastoid process or in the temporal bone, a trauma during an operative procedure on the mastoid, postoperative local anesthesia or edema of the nerve from toxic causes. The condition should be carefully differentiated from true Bell's palsy, which may be due to refrigeration, toxic infection of the nerve or many other extraneous

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