Abstract
Objectives Cochlear implantation (CI) is a surgical intervention used to rehabilitate hearing in individuals, both pediatric and adult, with severe hearing loss. It is generally a safe procedure with rare postoperative complications. Facial nerve paralysis following cochlear implant surgery poses challenges in diagnosis and treatment. Methods This case report details a 48-year-old male who experienced delayed facial paralysis after cochlear implantation, an uncommon occurrence with limited documentation. Results The facial nerve palsy of the patient resolved by the third week with combined therapy. Discussion The etiology of this complication is not fully understood, with latent virus reactivation, particularly HSV and VZV, hypothesized as a probable cause. Conclusion Successful management involves a combination of corticosteroids, antiviral therapy, and antibiotics, leading to a favorable outcome.
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