Abstract
The occurrence of facial paralysis in the course of acute otitis media is a rare and alarming development. The preoperative incidence is reported by Kettel 1 to be 0.5 per cent. The possible causes of the paralysis advanced by Brunner 2 are as follows: (1) infection of the nerve by contact; (2) compression of the nerve by hyperemic blood vessels which accompany the nerve; (3) a lymphangitis in the facial nerve canal, or (4) toxic paresis of vasomotor nerves and consequent disturbances in the nutrition of the nerve. Lederer and Hollender 3 in their text and Brunner 2 divide cases of facial paralysis occurring in the course of acute otitis media into two groups: (1) those in which the paralysis appears in the first days of the acute otitis, in which the prognosis is good and the treatment that of simple otitis media; (2) those in which the paralysis appears during or after the
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