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Title: | Facial nerve baroparesis during airflight: A case report and literature review. | Authors: | Gordan M.;Alwan M. | Institution: | (Alwan, Gordan) Department of Otolaryngology-Head and Neck Surgery, Monash Health, Melbourne, Australia | Issue Date: | 24-Feb-2021 | Copyright year: | 2021 | Publisher: | Cambridge University Press | Place of publication: | United Kingdom | Publication information: | Journal of Laryngology and Otology. 135 (1) (pp 88-92), 2021. Date of Publication: January 2021. | Journal: | Journal of Laryngology and Otology | Abstract: | Background Facial nerve baroparesis is a rare phenomenon which has been reported during flight. It is thought to occur due to ischaemic neuropraxia on the facial nerve as middle-ear pressure increases in the presence of Eustachian tube dysfunction and force is transmitted through a dehiscent facial nerve canal. Method This study presents an aviation-associated, right-sided facial nerve palsy as well as presenting the results of a systematic review that was performed on the available literature using Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Full-text articles from Medline, PubMed and Embase were used, as well as associated reference lists. This study systematically reviews the literature to discuss presentation, investigations performed and an approach to management of this rare condition. Results This study identified 23 cases in the literature (including the case presented in this study) of facial nerve baroparesis. Conclusion Facial nerve baroparesis is a mostly temporary rare phenomenon that can be managed effectively with ventilation tube insertion. In the event of long-standing facial nerve palsy after descent of the aircraft, urgent myringotomy should be performed to prevent permanent facial nerve damage.Copyright © 2020 JLO (1984) Limited. | DOI: | http://monash.idm.oclc.org/login?url= http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1017/S0022215120002431 |
PubMed URL: | 33292875 [http://www.ncbi.nlm.nih.gov/pubmed/?term=33292875] | ISSN: | 0022-2151 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/27223 | Type: | Article | Subjects: | facial canal *facial nerve *facial nerve paralysis/di [Diagnosis] *facial nerve paralysis/dt [Drug Therapy] *facial nerve paralysis/su [Surgery] female high resolution computer tomography human male Medline meta analysis middle aged mucoid otitis media multicenter study myringotomy Preferred Reporting Items for Systematic Reviews and Meta-Analyses pure tone audiometry respiratory tract infection systematic review upper respiratory tract weakness young adult decongestive agent/dt [Drug Therapy] decongestive agent/na [Intranasal Drug Administration] prednisolone/dt [Drug Therapy] prednisolone/po [Oral Drug Administration] xylometazoline/dt [Drug Therapy] xylometazoline/na [Intranasal Drug Administration] tympanostomy tube Embase adult *aircraft article artificial ventilation aviation *barotrauma/di [Diagnosis] *barotrauma/dt [Drug Therapy] *barotrauma/su [Surgery] case report clinical article clinical examination conduction deafness eardrum endoscopy Embase endoscopy facial canal *facial nerve *facial nerve paralysis / *diagnosis / *drug therapy / *surgery female high resolution computer tomography human male Medline meta analysis middle aged mucoid otitis media multicenter study myringotomy Preferred Reporting Items for Systematic Reviews and Meta-Analyses pure tone audiometry respiratory tract infection systematic review Article weakness young adult *aircraft adult upper respiratory tract artificial ventilation aviation *barotrauma / *diagnosis / *drug therapy / *surgery case report clinical article clinical examination conduction deafness eardrum |
Type of Clinical Study or Trial: | Systematic review and/or meta-analysis |
Appears in Collections: | Articles |
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