Case Presentation

3 years before and after 2

Case Presentation – Facial Paralysis

By: Dr. Amit Kochhar  A 26-year-old woman presents with a 1 year history of complete right sided facial paralysis that began immediately following removal of a large acoustic neuroma. In addition to her right facial droop, she also complained of right nasal obstruction and difficulty eating and drinking from the right side of her mouth. She felt it had become more difficult for others to comprehend her speech.  Examination Complete right sided facial paralysis.  Incomplete right upper eyelid closure.  Severe …

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Case Presentation – Sudden Sensorineural Hearing Loss

By: Dr. Courtney Voelker A 52-year-old male presented to his primary care physician complaining of 2 days of right-sided hearing loss and a “roaring” right-sided tinnitus. There were no obvious inciting factors and the patient reports he first noticed hearing loss upon awakening 2 days prior. The patient denied any associated otalgia, otorrhea, or vertigo but did report some right-sided aural pressure. He felt that his hearing loss may have been due to cerumen impaction as he had been prone …

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Case Study: Chronic Sinusitis with Nasal Polyposis 

A 65-year-old male with a history of environmental allergies has experienced a long history of post-nasal drip, facial pressure around his nose and eyes, difficulty breathing through his nose, and a decreased sense of smell. He has had multiple episodes of acute sinus infections with associated yellow discharge from his nose and discolored post-nasal drip. These episodes are often treated with courses of antibiotics and steroids. The patients baseline symptoms of nasal congestion and facial pressure have never been completely …

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Case Study: Temporalis Tendon Transfer

Facial Nerve Disorders A 73-year-old woman suffered with left sided facial paralysis for one-year that began immediately following the removal of a large acoustic neuroma. In addition to her facial droop, she also complained of blurred vision, left nasal obstruction, and had difficulty eating and drinking. The patient also felt her speech was difficult for others to comprehend.  (This photo demonstrates a Before (Left Photo) and After (Right Photo) following the Temporalis Tendon Transfer during a 6-month period.)  Examination from …

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