TY - JOUR T1 - Facial palsy in a baby with acute otitis media JF - Archives of disease in childhood - Education & practice edition JO - Arch Dis Child Educ Pract Ed DO - 10.1136/archdischild-2017-312743 SP - edpract-2017-312743 AU - Carolina D'Anna AU - Mario Diplomatico AU - Vincenzo Tipo Y1 - 2017/03/27 UR - http://ep.bmj.com/content/early/2017/03/31/archdischild-2017-312743.abstract N2 - A 14-month-old girl was brought to the emergency department with fever for 3 days and inconsolable crying (figures 1 and 2). Physical examination revealed irritability and a red bulging right tympanic membrane (acute otitis media—AOM), without vesicles or ipsilateral parotid masses, no postauricular swelling/erythema, no auricular displacement and no palpable lymph nodes in the head/neck region. While crying, a left deviation of the mouth was evident, with incomplete closure of the right eye and slight movement of the forehead.This physical examination supports the diagnosis of: Left facial palsy (FP)Right FPMeningitisRamsay Hunt syndrome type 2 (RHS-2)Acute mastoiditisCan you describe the course of the facial nerve?What is the next step in this baby's management? Early discharge and oral antibiotic therapyAdmission to a paediatric department and intravenous antibiotic therapyReassurance and dischargeSurgical interventions (eg, drainage, myringotomy)What is the prognosis of FP in a baby with AOM and mastoiditis? Complete recovery in 80–100%Complete recovery in 50–66%Complete recovery in 20–33%Complete recovery … ER -