Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report

AbstractFacial baroparesis is a rare transient facial nerve palsy caused by compression of the tympanic segment of the facial nerve. However, otolaryngologists are lacking sufficient information about the course and treatment of this disease. We report a case of facial baroparesis relieved by endosc...

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Main Authors: Makiko Toma-Hirano, Ryoji Kagoya, Ken Ito
Format: Article
Language:English
Published: Taylor & Francis Group 2023-12-01
Series:Acta Oto-Laryngologica Case Reports
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/23772484.2023.2228484
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author Makiko Toma-Hirano
Ryoji Kagoya
Ken Ito
author_facet Makiko Toma-Hirano
Ryoji Kagoya
Ken Ito
author_sort Makiko Toma-Hirano
collection DOAJ
description AbstractFacial baroparesis is a rare transient facial nerve palsy caused by compression of the tympanic segment of the facial nerve. However, otolaryngologists are lacking sufficient information about the course and treatment of this disease. We report a case of facial baroparesis relieved by endoscopic sinus surgery (ESS). A 41-year-old man presented with a one-year history of recurrent right facial palsy that only developed during altitude changes in an aircraft. Computed tomography (CT) of the temporal bone revealed dehiscence of the tympanic portion of the facial nerve canal. Based on the CT finding and clinical course, the patient was diagnosed with facial baroparesis. He was also diagnosed with chronic rhinosinusitis with nasal polyps (CRSwNP), and thereafter underwent ESS. For 4 years after surgery, he has not experienced facial palsy during airplane altitude changes. To our knowledge, this is the first case report of facial baroparesis relieved by ESS.
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spelling doaj.art-b6179816c7b541888d15f3e4c5cd68fc2024-03-25T14:56:39ZengTaylor & Francis GroupActa Oto-Laryngologica Case Reports2377-24842023-12-018110010310.1080/23772484.2023.2228484Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case reportMakiko Toma-Hirano0Ryoji Kagoya1Ken Ito2Department of Otolaryngology, Faculty of Medicine, Teikyo University, Tokyo, JapanDepartment of Otolaryngology, Faculty of Medicine, Teikyo University, Tokyo, JapanDepartment of Otolaryngology, Faculty of Medicine, Teikyo University, Tokyo, JapanAbstractFacial baroparesis is a rare transient facial nerve palsy caused by compression of the tympanic segment of the facial nerve. However, otolaryngologists are lacking sufficient information about the course and treatment of this disease. We report a case of facial baroparesis relieved by endoscopic sinus surgery (ESS). A 41-year-old man presented with a one-year history of recurrent right facial palsy that only developed during altitude changes in an aircraft. Computed tomography (CT) of the temporal bone revealed dehiscence of the tympanic portion of the facial nerve canal. Based on the CT finding and clinical course, the patient was diagnosed with facial baroparesis. He was also diagnosed with chronic rhinosinusitis with nasal polyps (CRSwNP), and thereafter underwent ESS. For 4 years after surgery, he has not experienced facial palsy during airplane altitude changes. To our knowledge, this is the first case report of facial baroparesis relieved by ESS.https://www.tandfonline.com/doi/10.1080/23772484.2023.2228484Facial baroparesiseustachian tube dysfunctiondehiscencealtitude changeendoscopic sinus surgery
spellingShingle Makiko Toma-Hirano
Ryoji Kagoya
Ken Ito
Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report
Acta Oto-Laryngologica Case Reports
Facial baroparesis
eustachian tube dysfunction
dehiscence
altitude change
endoscopic sinus surgery
title Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report
title_full Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report
title_fullStr Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report
title_full_unstemmed Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report
title_short Recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery: A case report
title_sort recurrent facial baroparesis on airplane flights relieved by endoscopic sinus surgery a case report
topic Facial baroparesis
eustachian tube dysfunction
dehiscence
altitude change
endoscopic sinus surgery
url https://www.tandfonline.com/doi/10.1080/23772484.2023.2228484
work_keys_str_mv AT makikotomahirano recurrentfacialbaroparesisonairplaneflightsrelievedbyendoscopicsinussurgeryacasereport
AT ryojikagoya recurrentfacialbaroparesisonairplaneflightsrelievedbyendoscopicsinussurgeryacasereport
AT kenito recurrentfacialbaroparesisonairplaneflightsrelievedbyendoscopicsinussurgeryacasereport