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  <front>
    <journal-meta>
      <journal-title-group>
        <journal-title>British Journal of Medical and Health Research</journal-title>
        <abbrev-journal-title abbrev-type="publisher">BJMHR</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="epub">2394-2967</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.46624/bjmhr.2020.v7.i6.010</article-id>
      <article-id pub-id-type="publisher-id">BJMHR0706010</article-id>
      <title-group>
        <article-title>POST MASTOIDECTOMY DELAYED FACIAL NERVE PALSY â€“ A SURGEONâ€™S SHORT-LIVED NIGHTMARE!!</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Havaldar</surname>
            <given-names>Rajesh Radhakrishna</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mudhol</surname>
            <given-names>Ramesh S</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Bellad</surname>
            <given-names>Shama A</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>N</surname>
            <given-names>Sindhu</given-names>
          </name>
          <xref ref-type="aff" rid="aff3"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">Senior Resident, 
Department of ENT and Head &amp; Neck Surgery
J.N.Medical College
KLE Academy of Higher Education &amp; Research
Nehru Nagar, Belagavi</aff>
      <aff id="aff2">DEPT OF ENT&amp;HNS
JAWAHARLAL NEHRU MEDICAL COLLEGE, 
KAHER (KLE DEEMED-TO-BE UNIVERSITY)
BELGAUM</aff>
      <aff id="aff3">Department of ENT &amp; HNS, Jawaharlal Nehru Medical College, Belgaum</aff>
      <pub-date pub-type="epub" iso-8601-date="2020-06-01">
        <month>06</month>
        <day>01</day>
        <year>2020</year>
      </pub-date>
      <volume>7</volume>
      <issue>6</issue>
      <abstract>
        <p>Introduction: Post mastoidectomy facial nerve palsy is seen either immediately or after some delay following surgery. Early diagnosis and treatment is key to prevent fatal complications. 
Methodology: A set of 3 case series was studied who developed facial palsy after 7 to10 days of uneventful mastoid surgery. Serial photographs were taken to document the progression of the patients from disease to recovery after institution of therapy. 
Results - All 3 patients were completely recovered within 30 days. 
Conclusion: Delayed facial nerve palsy is rare. It can be due to virus reactivation, surgical stress, or laceration of the chorda tympani nerve with a resultant retrograde facial nerve edema. But with timely presentation &amp; management, it has a good prognosis and recovery rate. A combined approach from the Otolaryngologist and the physiotherapist aids in the timely improvement of the patient.</p>
      </abstract>
      <kwd-group kwd-group-type="author">
        <kwd>Bellâ€™s Palsy</kwd>
        <kwd>Facial Nerve Palsy</kwd>
        <kwd>Mastoidectomy</kwd>
      </kwd-group>
    </article-meta>
  </front>
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