Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-19T12:40:05.003Z Has data issue: false hasContentIssue false
  • English
  • Français

Aberrant reinervation of the stapedius muscle following facial palsy

Published online by Cambridge University Press:  29 June 2007

D. J. McFerran ,
D. Baguley  and
D. A. Moffat
D. J. McFerran
Affiliation:
SHO in E.N.T., Addenbrooke's Hospital, Cambridge
D. Baguley
Affiliation:
Audiological Scientist, Addenbrooke's Hospital, Cambridge
D. A. Moffat*
Affiliation:
Consultant Otoneurosurgeon, Addenbrooke's Hospital, Cambridge
*
D. A. Moffat, B.Sc., M.A., F.R.C.S. Addenbrookes Hospital, Hills Road, Cambridge CB2 2QQ
Get access Rights & Permissions [Opens in a new window]

Abstract

This case report describes the clinical course of a patient with Ramsay Hunt Syndrome. Partial recovery of the lower motor neuron facial palsy was associated with decreased hearing and a reduction of the middle ear compliance on voluntary contraction of the facial musculature. It is suggested that this is due to misdirection of regenerating nerve fibres, normally destined for facial muscles, to stapedius muscle.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 2 , February 1989 , pp. 205 - 206
Copyright
Copyright © JLO (1984) Limited 1989

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

Boyer, F. C. and Gardner, W. J. (1949) Paroxysmal lacrimation (Syndrome of Crocodile tears) and its surgical treatment: relation to auriculotemporal syndrome. Archives of Neurology and Psychiatry, 61: 56–64.CrossRefGoogle ScholarPubMed
Citron, D. and Adour, K. K. (1978) Acoustic reflex and loudness discomfort in acute facial paralysis. Archives of Otolaryngology, 104: 303–306.CrossRefGoogle ScholarPubMed
Feldman, A. S. (1975) ‘Acoustic impedance and admittance measurements.’ In Physiological Measures of the Audio-Vestibular System. L. J. Bradford, New York Academic Press 1975.Google Scholar
Ford, F. R. and Woodhall, B. (1938) Phenomena due to misdirection of regenerating fibres of cranial, spinal and autonomic nerves. Archives of Surgery, 36: 480–496.CrossRefGoogle Scholar
Frey, L. (1923) Le syndrome du nerf auriculotemporal. Revue Neurologique, 2: 97–104.Google Scholar
Gardner, W. J. and McCubbin, J. W. (1956) Auriculotemporal syndrome. Gustatory sweating due to misdirection of regenerated nerve fibres. Journal of the American Medical Association, 160: 272–277.Google Scholar
Goldwing-Wood, P. H. (1962) Tympanic neurectomy. Journal of Laryngology and Otology, 76: 683–693.Google Scholar
Kornblut, A. D., Westphal, P. and Miehlke, A. (1977) A reevaluation of the Frey syndrome following parotid surgery. Archives of Otolaryngology, 103 258–261.Google Scholar
May, M. and Hardin, W. B. (1978) Facial palsy: interpretation of neurological findings. Laryngoscope, 88: 1352–1362.Google Scholar
Rosen, G. and Sellars, S. L. (1980) The stapedius reflex in idiopathic facial palsy. Journal of Laryngology and Otology, 94: 1021–1024.CrossRefGoogle ScholarPubMed
Shone, G. R. and Moffat, D. A. (1986) Oto-admittance measurements in the diagnosis of otosclerosis. Journal of Laryngology and Otology, 100: 149–154.Google Scholar