We randomly assigned 60 patients with otosclerosis planned for primary stapedotomy to receive either DLS or CMS. Cortical auditory disorders considerably vary and the variety of descriptions, such as auditory agnosia , apperceptive agnosia , pure word deafness , central deafness , and reversible cortical (central) auditory dysfunction [6, 7], indicates substantial overlap and thus a spectrum of related auditory processing disorders. Clinical Presentation A 47-year-old Asian man was referred to our hospital with a chief complaint of double vision. A 15-year-old male adolescent presented with a history of congenital peripheral facial palsy, amblyopia, a retinal “membrane”, and weakness of the left lower limb. Facial palsy may also result from surgical damage to this nerve, or compression of the nerve by a tumour. Cerebrospinal fluid leakage occurred in 6 patients (2.7%), lower cranial nerve palsies in 9 patients (4.1%), and intracranial hematomas 3 cases (1.4%). A transverse sinus thrombosis may also present with otitis media, sixth nerve palsy, and retroorbital or facial pain (Gradenigo’s syndrome).
One week later the patient complained of hypoacusis; the facial paralysis had worsened to grade V (Fig. Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. My eye started producing tears — intermittently at first — after about six months, and at eleven months I was able to close my eyelid completely. Rarely it could result from occipital blow also. Local control was achieved in all the patients with 37% patients having radiographic reduction in tumor size. Otherwise, I would have been forced out on disability after one year. The nerve lies in a fibrous plane that separates the deep and superficial lobes of the parotid gland.
And after two plus years, I continue to see improvement. You will see that there are different schools of thought on this subject. This is my story. The patient had experienced right facial palsy two years previously and recovered completely following treatment at another hospital (Far Eastern Memorial Hospital, Taipei, Taiwan).