facial nerve palsy has been reported in cases of TB otitis media even if the antituberculosis therapy has been started .in our case ,there was already grade IV facial n palsy .recently ,the role of the surgery has been revised .in the past ,it was done to provide drainge ,to control spread to CNS and to relieve facial paralysis .the advent of specific chemotherapy has challenged all this ,and today surgery should be reserved for decompression of the facial nerve and for removal of necrotic material which might provide a nidus for the organism to remain out of reach of anti tuberculous therapy.
Posted on: Sun, 14 Sep 2014 23:34:38 +0000
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