Clinical Case Database / Category: Case Based Discussion

Acute otitis media and unilateral facial weakness

Publication details

Dr. Seema Yalamanchili MA, MBBS, Mr. Rishi Talwar BSc, MBBS, MRCS, DOHNS, Mrs. Helen Caulfield MBBS, FRCS(ORL-HNS)
Foundation Years Journal, volume 4, issue 7, p.32 (123Doc Education, London, July 2010)


This case-based discussion centres on a 9-month-old boy presenting to A&E with acute otitis media and unilateral facial weakness. It outlines the clinical assessment, investigations and treatment of such a case and discusses the causes and complications relating to this diagnosis.

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Dr. Seema Yalamanchili MA, MBBS

Foundation Year 1 Doctor

Mr. Rishi Talwar BSc, MBBS, MRCS, DOHNS

Specialist Registrar in ENT

Mrs. Helen Caulfield MBBS, FRCS(ORL-HNS)

Consultant ENT Surgeon


1. Yates PD, Anari S. (2008) Otitis Media. In: Lalwani A. ed. Current Diagnosis & Treatment in Otolaryngology-Head and Neck Surgery, 2nd edn. New York: McGraw Hill; 655–665.
2. Foundation Year Programme Curriculum: core competences and skills Section 4: Syllabus and Competencies, Subsection 4.0: Relationship with patients and communication skills
3. Sanders S, Glasziou PP, Del Mar C, Rovers MM. (2004) Antibiotics for acute otitis media in children. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD000219. DOI: 10.1002/14651858.CD000219.pub2
4. Roland NJ, McRae RDR, McCombe AW. (2001) Key topics in otolaryngology and head and neck surgery, 2nd edn. Taylor and Francis Informa Healthcare.


Conflict Of Interest

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.