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Facial neuritis in coronavirus disease 2019 associated mucormycosis: study on clinico-radiological correlates

Part of: JLO Coronavirus Collection

Published online by Cambridge University Press:  31 January 2022

A S Jaiswal Open the ORCID record for A S Jaiswal [Opens in a new window] ,
K Sikka ,
A S Bhalla ,
S Manchanda ,
G Goel ,
H Verma Open the ORCID record for H Verma [Opens in a new window]  and
A Thakar
A S Jaiswal
Affiliation:
Department of Otorhinolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
K Sikka*
Affiliation:
Department of Otorhinolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
A S Bhalla
Affiliation:
Department of Radiology, All India Institute of Medical Sciences, New Delhi, India
S Manchanda
Affiliation:
Department of Radiology, All India Institute of Medical Sciences, New Delhi, India
G Goel
Affiliation:
Department of Otorhinolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
H Verma
Affiliation:
Department of Otorhinolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
A Thakar
Affiliation:
Department of Otorhinolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, New Delhi, India
*
Author for correspondence: Dr Kapil Sikka, Room number 4063, 4th Floor, Department of Otorhinolaryngology and Head – Neck Surgery, All India Institute of Medical Sciences, New Delhi110029, India E-mail: kapil_sikka@yahoo.com
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Abstract

Objective

To elucidate the aetiopathogenesis of facial neuritis in coronavirus disease 2019 associated mucormycosis.

Methods

A retrospective review was conducted of coronavirus disease 2019 associated mucormycosis patients who presented with peripheral facial nerve palsy from January 2021 to July 2021. The clinico-radiological details of four patients were assessed to examine the potential mechanism of facial nerve involvement.

Results

Serial radiological evaluation with contrast-enhanced computed tomography and contrast-enhanced magnetic resonance imaging revealed infratemporal fossa involvement in all cases, with the inflammation extending along fascial planes to reach the stylomastoid foramen. Ascending neuritis with an enhancement of the facial nerve was demonstrated in all cases.

Conclusion

The likely explanation for facial palsy in patients with coronavirus disease 2019 associated mucormycosis, backed by radiology, is the disease abutting the facial nerve at the stylomastoid foramen and causing ascending neuritis of the facial nerve.

Keywords

Facial PalsySinusitisMucormycosisCOVID-19Facial Nerve
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 4 , April 2022 , pp. 349 - 353
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Dr K Sikka takes responsibility for the integrity of the content of the paper

References

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