ANA Discussion Forum

Treatment Options => Microsurgical Options => Topic started by: Darlene on June 05, 2009, 08:07:05 pm

Title: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: Darlene on June 05, 2009, 08:07:05 pm

Ok, I googled middle fossa surgery and came up with a patient release form.  It stated that patients with a fever blister history may have a higher risk of delayed onset facial paralysis following Middle Fossa Surgery, has anyone heard of this or had experience with this higher risk?   Thanks for all information.

Darlene

Title: Re: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: Lilan on June 05, 2009, 10:06:48 pm

I don't know about this, but it must have to do with possible viral reactivation? I believe they sometimes give preventive anti-virals to avoid reactivating any virus along the facial nerve, so maybe they could do that if necessary?

Title: Re: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: Darlene on June 05, 2009, 10:47:57 pm

Hi Lilian,

I actually put this into the search engine and saw a thread from 2006 and apparently bells palsy is believed to be caused by the herpes virus on the nerve in the IAC.  People were given prophalactic treatment for fever blisters and then  developed delayed onset facial paralysis and were put on more medicine.  In the thread the person's paralysis was almost 100% corrected at 3mths after medicine and facial therapy and botox.     I often get fever blisters when under stess or in the sun so I guess I better contact my surgeon because I am scheduled for middle fossa on July 1st.  Thanks for your help, you were right it was a viral reactivation.   

Thanks,
Darlene

Title: Re: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: Darlene on June 06, 2009, 09:05:47 am

Ok panic over, I emailed the Dr.  and he stated thiis is relevant because of my fever blister history and will treat me peri-operatively with anti-viral medicine.   Did anyone else have this situation?   I would love to hear any outcomes related to fever blisters and middle fossa approach or if you were treated with anti-virals prior or during surgery.   Thanks, Darlene

Title: Re: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: msmaggie on June 06, 2009, 09:17:19 am

I didn't have a middle fossa-instead had retro-but I was treated w/Valtrex, an antiviral med, for the whole time I was in the hospital. I wasn't sure why, but assumed it was to prevent something from happening.  In retrospect I am glad, because I do get fever blisters when stressed!
Priscilla

Title: Re: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: wendysig on June 07, 2009, 11:35:31 pm

Darlene,

I took Valtrex two weeks prior to and  continued it for two weeks after my surgery, even while I was in the hospital.  My doc said since the side effects are practically non-existant, he thought it was a good idea.  The only facial nerve problem I had was a mild weakness in my eye and it cleared up a few weeks after my surgery.  I had no reaction all at the the Valtrex and was glad I took the precaution.

Wendy

Title: Re: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: Darlene on June 08, 2009, 11:00:50 am

Wendy & Priscilla,

Thanks for the information, of course I immediately jumped to the conclusion that I was going to get facial paralysis because of those darn fever blisters.  I am glad to hear that despite your history of fever blisters with treatment you did fine.  The doctor said I was going to take it peri-operatively and i don't know how that is defined but I am going to ask for it for two weeks before and two weeks after.   

This forum rules!! 

Thanks, Darlene

Title: Re: Fever blisters and delayed onset facial paralysis in Middle fossa Surgery
Post by: OTO on June 10, 2009, 07:52:49 pm

Prior to my surgery, they sent me a prescription for anti-viral medication for 5 days prior to surgery (I can't remember the name).    They also gave a prescription for phisohex to shampoo with for 2 days prior to surgery (medicated shampoo... I vaguely remember this shampoo from the '60s).    Anyway, afterward I found out its to prevent any herpes outbreaks which could happen because the virus can be dormant (living on the facial nerve).