Hostname: page-component-8448b6f56d-c47g7 Total loading time: 0 Render date: 2024-04-23T21:52:21.384Z Has data issue: false hasContentIssue false

Facial nerve palsy as a complication of ear syringing

Published online by Cambridge University Press:  22 May 2012

A M Thomas*
Affiliation:
Department of Otolaryngology, Bangalore Baptist Hospital, India
B Poojary
Affiliation:
Department of Otolaryngology, Bangalore Baptist Hospital, India
H C Badaridatta
Affiliation:
Department of Otolaryngology, Bangalore Baptist Hospital, India
*
Address for correspondence: Dr Anita Mariet Thomas, Senior ENT Consultant, Bangalore Baptist Hospital, Hebbal, Bellary Rd, Bangalore 560 024, India Fax: +91 80 23437970 E-mail: anipious@gmail.com

Abstract

Introduction:

Syringing of the ear is one of the most common procedures performed for cleaning cerumen from the external auditory canal. Common complications following syringing are pain, external auditory canal trauma and otitis externa. Hearing and vestibular loss have also been reported as complications. However, we are unaware of any report of facial nerve palsy as a complication of ear syringing. Such a case is reported.

Case presentation:

We describe a case of facial nerve palsy as a complication of syringing, which demonstrates the dramatic presentation of this condition and emphasises the need for great care while syringing the ears.

Conclusion:

It is important to be aware of this unusual complication with its distinctive presentation. Surgical intervention should be undertaken at the earliest opportunity, for favourable results. A risk-minimising strategy for ear syringing is recommended.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Bird, S. Professional practice – ear syringing: minimizing risks. Aust Fam Physician 2008;37:5Google Scholar
2Schmiemann, G, Kruschinski, C. Complication rate of out-patient removal of ear wax: systematic review of the literature [in English]. HNO 2009;57:713–8CrossRefGoogle ScholarPubMed
3Grossan, M. Cerumen removal – current challenges. Ear Nose Throat J 1998;77:541–6CrossRefGoogle ScholarPubMed
4Sharp, JF, Wilson, JA, Ross, L, Barr-Hamilton, RM. Ear wax removal: a survey of current practice. BMJ 1990;301:1251–3CrossRefGoogle ScholarPubMed
5Browning, G. Professional practice ear syringing: minimizing risks – clinical evidence. BMJ 2006;10:504Google Scholar
6Dinsdale, RC, Roland, PS, Manning, SC, Meyerhoff, WL. Catastrophic otologic injury from oral jet irrigation of the external auditory canal. Laryngoscope 1991;101:75–8CrossRefGoogle ScholarPubMed
7Zikk, D, Rapoport, Y, Himelfarb, MZ. Invasive external otitis after removal of impacted cerumen by irrigation. N Engl J Med 1991;325:969–70Google ScholarPubMed
8Folmer, RL, Shi, BY. Chronic tinnitus resulting from cerumen removal procedures. Int Tinnitus J 2004;10:42–6Google ScholarPubMed
9Prasad, KS. Cardiac depression on syringing the ear – a case report. J Laryngol Otol 1984;98:1013CrossRefGoogle ScholarPubMed
10Peter, SR, Smith, TL, Schwartz, SR, Rosenfeld, RM, Ballachanda, B, Earll, JM et al. Clinical practice guideline: cerumen impaction. Otolaryngol Head Neck Surg 2008;139(suppl 2):S121Google Scholar
11Wilson, PL, Roeser, RJ. Cerumen management: professional issues and techniques. J Am Acad Audiol 1997;8:421–30Google ScholarPubMed
12Blake, P, Matthews, R, Hornibrook, J. When not to syringe an ear. N Z Med J 1998;11:422–4Google Scholar
13Ernst, AA, Takakuwa, KM, Letner, C, Weiss, SJ. Warmed versus room temperature saline solution for ear irrigation: a randomized clinical trial. Ann Emerg Med 1999;34:347–50CrossRefGoogle ScholarPubMed