Dallas Ear Institute
7777 Forest Lane, Suite A-103, Dallas, TX 75230 | Phone: (972) 566-7600 | Fax: (972) 566-6560 | www.dallasear.com

Adult Otology Pediatric Otology Cochlear Implant Program Implanted Hearing Devices Hearing Aid Program Audiology Services

Facial Paralysis from Herpes Zoster Oticus Case Number 1

1) As you can see, the left side of the face does not move when the patient tries to move it.  You can tell that the right forehead and eye are elevated, but that the left side of the face is not functioning.  Notice the lips, with the left side of the lips being lower and the functioning facial muscles on the right pulling the left side towards the right.

The facial nerve is affected in this condition and the facial dysfunction can be mild or severe, as it is in this case.  The patient with affected facial function may have difficulty closing the eye, a function of the facial nerve.

2) In this image, the patient has begun to have some recovery of function of the left side of her face.  You note that the she is beginning to have more creases in the forehead, which is a function of the forehead muscles that are controlled by the facial nerve.  Specifically, look at the area above the eyebrows and you note some contraction of the muscles on the left as well.  In addition, there is increased tone on the lower face.

3) This “scab” in the area of the meatus or conchal bowl of the ear is characteristic of varicella zoster virus infection.  The ear canal and ear opening can be very painful. 

4) After several weeks, or even months, there is improvement in the area affected by the virus.  The area begins to show more normal skin appearance and will eventually become normal again.

Contact Dallas Ear Institute

Online Bill Pay


Patient Testimonials

 
Back to Conditions & Diseases
Pediatric Otology Services
Adult Otology Services
Our Location
Schedule An Appointment
More Cholesteatoma Cases
Back to Cholesteatoma page

Find A Doctor Medical Hospital Clinic Surgeon Company Specialist Medical Rep Representative Medical Device

Dallas Ear Institute
7777 Forest Lane, Suite A-103, Dallas, TX 75230 | Phone: (972) 566-7600 | Fax: (972) 566-6560 | www.dallasear.com