A 74-year-old man had a facial nerve tumor resected elsewhere 9 months ago based on a 6 month clinical history of facial palsy (unclear if complete or partial) and a radiological suspicion of a mastoid facial nerve schwannoma. No tumor was described in the pathological report (angioma?). The nerve defect was reconstructed with a greater auricular nerve graft with no recovery. The patient was seen in our unit with 15 months of flaccid paralysis. Otoscopy shows canal wall down a cavity obliterated with soft tissue (tiny meatoplasty). Diffusion MRI suggests cholesteatoma in the cavity. What would you do now?
autoimmune Bell Palsy bulbar palsy Cranial nerve transfer Cross face nerve graft elderly Electro-stimulation Facial Therapy flaccid paralysis Free muscle transfer Grading systems middle ear multiple cranial nerve palsy myositis nerve graft Objective analysis Pediatric PROMs Reanimation Subjective analysis tumor vestibular schwannoma viewpoints