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October 1968

Congenital Anomaly of the Facial Nerve

Author Affiliations

From the Department of Otolaryngology, University of Pittsburgh School of Medicine and Mercy Hospital, Pittsburgh.

Arch Otolaryngol. 1968;88(4):357-359. doi:10.1001/archotol.1968.00770010359005

VARIOUS types of congenital anomalies of the facial nerve have been well described in the literature. We have recently encountered one such anomaly which proved to be of considerable clinical significance.

Report of a Case  An 11-year-old white boy was admitted to Mercy Hospital, Pittsburgh, on Aug 7, 1967. His history revealed a foul discharge from the right ear. This had been persistent for approximately seven years in spite of conservative medical treatment. Examination of this ear revealed a protruding auricle, a normal external auditory canal, and a large (4/5) peripheral perforation of the tympanic membrane. The tympanum contained extensive granulation tissue and the epitympanum contained cholesteatoma.Examination of the left ear revealed a previously repaired microtia and a normal external auditory canal. The tympanic membrane appeared to be normal except for questionable limitation of motion. There was no history of otalgia or otorrhea in this ear and the mastoid

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