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Oculostapedial synkinesis following idiopathic facial palsy: something to listen out for
Published online by Cambridge University Press: 23 July 2018
Abstract
This paper presents a rare case of oculostapedial synkinesis.
After partial resolution of an idiopathic facial palsy, a male patient presented with persistent distortion of hearing when blinking and closing his eye. Audiometry findings were unremarkable, and cross-sectional imaging of the facial nerve revealed no abnormalities apart from an incidental contralateral meningioma. Initial conservative management, with referral to a specialist physiotherapist, failed to resolve the symptoms. The patient subsequently opted for surgical intervention, and underwent a transmeatal tympanotomy and transection of the stapedial tendon. Following this, he had complete resolution of symptoms.
Oculostapedial synkinesis is a rare complication of facial palsy, but is recognised in the literature. Given its unusual presentation, it can be overlooked, especially by more junior team members. This case highlights the need to pay careful attention to patients' symptoms and listen out for the description of hearing distortion on facial movement.
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- Clinical Record
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- Copyright © JLO (1984) Limited, 2018
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Mr T Williams takes responsibility for the integrity of the content of the paper
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