[Skip to Navigation]
August 1960

Cephalic Tetanus: Report of a Case and Review of the American Literature

Author Affiliations

New Orleans
From the Departments of Surgery and Otolaryngology, Tulane University School of Medicine, and the Charity Hospital of Louisiana at New Orleans. Assistant Professor of Otolaryngology and Instructor in Pediatrics (Dr. Rutledge); Associate Professor of Surgery (Dr. Krementz), and Assistant in Surgery (Dr. Kellum). Dr. Kellum's present address is Vicksburg, Miss.

Arch Otolaryngol. 1960;72(2):170-177. doi:10.1001/archotol.1960.00740010175003

The practicing physician occasionally sees a patient with paralysis of the facial nerve or a patient with trismus but rarely one with both of these signs occurring concurrently. For this reason, the present case of such a combination of physical findings, which represents an unusual form of tetanus, seems noteworthy. A review of American publications on cephalic tetanus is also included.

Report of Case  On Jan. 24, 1956, a 22-year-old white man was admitted to the Charity Hospital in New Orleans. One and one-half years previously he had been in an automobile accident, which had resulted in the loss of his entire left external ear. After this accident he underwent numerous surgical procedures for a staged reconstruction of the auricle. Two days after this admission, a tubed pedicle flap was shifted to the left auricular area. On the 10th postoperative day, it was noted that he had slight ptosis of