Abstract
Two cases of facial palsy following acute otitis media in an infant and a child were reported. The first case was a 7-month-old infant and the second, a 4-year-old boy. Although they had been treated with antibiotics for about ten days since the onset of the otitis, sudden facial palsy appeared without preceding aural discharge in both cases. Fortunately, complete recovery in two cases have been achieved by conservative treatments, such as repeated paracentesis and powerful chemotherapy. The origin of the facial palsy was suggested of direct inflammatory damage on the facial nerve in the first case and toxic neuritis and vasomotor paralysis indirectly in the second. The authors emphasize that if the facial palsy is steadily increasing or at least not decreasing after adequate conservative treatment for several days, immediate surgery should be performed.
