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Facial paralysis in Wegener’s granulomatosis of the middle ear

Published online by Cambridge University Press:  08 March 2006

A. Bibas
Affiliation:
Department of Otorhinolaryngology, University Hospital Lewisham, London, U.K.
C. Fahy
Affiliation:
Department of Otorhinolaryngology, University Hospital Lewisham, London, U.K.
L. Sneddon
Affiliation:
Department of Otorhinolaryngology, University Hospital Lewisham, London, U.K.
D. Bowdler
Affiliation:
Department of Otorhinolaryngology, University Hospital Lewisham, London, U.K.

Abstract

A case of Wegener’s granulomatosis, which presented as chronic otitis media with facial nerve palsy, is described. Early diagnosis is vital if unnecessary surgical exploration is to be avoided. A false negative cANCA may delay the diagnosis, especially in cases of locoregional disease, and a policy of repeated titres should be adopted, if clinical suspicion is high.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2001

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