Skip to main content
Log in

Recurrent facial nerve paralysis: an unusual presentation of fibrous dysplasia of the temporal bone

  • Case Report
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Facial nerve paralysis (FNP) is a rare occurrence in fibrous dysplasia (FD) of the temporal bone (FDTB). Eight such cases have been described in the literature. In none of these cases was the FNP the presenting symptom, and in all, a direct etiology for the paralysis was identified. We present the first case of recurrent, unilateral FNP as the sole otological manifestation of FDTB. We discuss possible etiological factors for the paralysis favoring a compressive, transient ischemia of the facial nerve. The authors suggest adding FDTB to the differential diagnosis of recurrent FNP.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. Sharp M (1970) Monostotic fibrous dysplasia of the temporal bone. J Laryngol Otol 84(7):697–708

    Article  PubMed  CAS  Google Scholar 

  2. Magu S, Mishra D, Sood A et al (2002) Fibrous dysplasia of the temporal bone. Neurol India 50:374–5

    PubMed  CAS  Google Scholar 

  3. DiCaprio MR, Enneking WF (2005) Fibrous dysplasia. Pathophysiology. Evaluation, and treatment. J Bone Joint Surg Am 87(8):1848–64

    Article  PubMed  Google Scholar 

  4. Lustig L, Holliday M, McCarthy E et al (2001) Fibrous dysplasia involving the skull base and temporal bone. Arch Otolaryngol Head Neck Surg 127:1239–1247

    PubMed  CAS  Google Scholar 

  5. Chinski A, Beider B, Cohen D (1999) Fibrous dysplasia of the temporal bone. Int J Pediatr otorhinolaryngol 47:275–281

    Article  PubMed  CAS  Google Scholar 

  6. Smouha E, Edelstein D, Parisier S (1987) Fibrous dysplasia involving the temporal bone, report of three new cases. Am J Otol 8(2):103–107

    PubMed  CAS  Google Scholar 

  7. Chee G, Chen J (2002) Fibrous dysplasia of the temporal bone. Otol Neurotol 23:405–406

    Article  PubMed  CAS  Google Scholar 

  8. Tweddle E, Holwell K (2005) Fibrous dysplasia of the temporal bone. J Surg 75:80–83

    Google Scholar 

  9. Megerian C, Sofferman R, McKenna M et al (1995) Fibrous dysplasia of the temporal bone: ten new cases demonstrating the spectrum of otologic sequelae. Am J Otol 16(4):408–419

    PubMed  CAS  Google Scholar 

  10. Shlumberger H (1946) Fibrous dysplasia of single bones (monostotic fibrous dysplasia). Mil Surg 99:504–527

    Google Scholar 

  11. Cohen A, Rosenwasser H (1969) Fibrous dysplasia of the temporal bone. Arch Otolaryngol 89(3):447–459

    PubMed  CAS  Google Scholar 

  12. Barrionuevo C, Marcallo F, Coelho A et al (1980) Fibrous dysplasia and the temporal bone. Arch Otolaryngol 106(5):298–301

    PubMed  CAS  Google Scholar 

  13. Reddy K, Vinayak B, Jefferis A et al (1994) Fibrous dysplasia of the temporal bone. Ann Otol Rhinol Laryngol 103(1):74–76

    PubMed  CAS  Google Scholar 

  14. Sakamoto M, Hayashida T, Sugasawa M (2001) A case of fibrous dysplasia of the temporal bone: Evaluation of treatment performed 23 years ago. Otolaryngol Head Neck Surg 125:563–564

    PubMed  CAS  Google Scholar 

  15. Eidlitz-Markus T, Gilai A, Mimouni M et al (2001) Recurrent facial nerve palsy in pediatric patients. Eur J Pediatr 160:659–663

    PubMed  CAS  Google Scholar 

  16. Singhi P, Jain V (2003) Bell’s palsy in children. Semin Pediatr Neurol 10(4):289–297

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors declare that prior consent was obtained from the patient referred to in this report regarding the publication of all included information.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to George M. Zaytoun.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zaytoun, G.M., Dagher, W.I. & Rameh, C.E. Recurrent facial nerve paralysis: an unusual presentation of fibrous dysplasia of the temporal bone. Eur Arch Otorhinolaryngol 265, 255–259 (2008). https://doi.org/10.1007/s00405-007-0422-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-007-0422-x

Keywords

Navigation