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May 1987

Diverse Causes of Facial Paralysis in Children

Author Affiliations

New, Orleans

Arch Otolaryngol Head Neck Surg. 1987;113(5):473-475. doi:10.1001/archotol.1987.01860050019005

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Lindhe Guiarisco, MD, presented his retrospective study of the causes of facial paralysis in children at the January 1987 Southern Section Meeting of the Triological Society. Twenty-five patients, 18 years of age and younger, who were treated for facial paralysis at the Children's National Medical Center in Washington, DC, were identified over a nine-year study period. Bell's palsy was uncommon in the study group (only four cases were found), whereas infection (including otitis media, mastoiditis, and herpes zoster) was the most common cause (seven cases). The next most common cause was trauma: one case involved a child who suffered a burn but recovered full facial function. Two cases were related to Goldenhar's syndrome and one to Melkersson-Rosenthal syndrome. The authors, who included Kenneth Grundfast, MD, Barbara Koch, MD, and Tina Narayan, MD, also presented three cases involving patients whose facial paralysis was caused by a malignancy, and stressed that one

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