Facial nerve palsy secondary to Epstein–Barr virus infection of the middle ear in pediatric population may be more common than we think

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Abstract
Facial nerve palsy is a rare complication of acute otitis media (AOM). The general understanding is that this complication has a bacterial cause although bacteria can be isolated from the middle ear only in approximately two-thirds of cases of AOM. Detection of viral agents from specimens obtained during myringotomy in patients with AOM suggests a possible role of viruses in the etiology of this disease.

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