How long does it take for facial paralysis after tympanoplasty?

Patient's question:

I have had pus flowing from my ear for a while, accompanied by a foul odor. Later, besides bleeding, I went to the hospital and was diagnosed with cholesteatoma otitis media. I had a tympanoplasty, and it is said that this surgery can cause facial paralysis. How long will it take for me to have facial paralysis?

Doctor's answer:

Middle ear reconstructive surgery, performed under the microscope using ear micro-instruments to remove inflammation, while repairing the tympanic membrane and reconstructing the ossicular chain, offers the advantages of minimal surgical trauma, fewer complications, and good outcomes. Regarding facial paralysis, there are two possible causes: one is improper surgery that damages the facial nerve, typically felt after the anesthesia fully recovers postoperatively. The other is exposure or excessive tightening of the facial nerve, or infection. This usually occurs repeatedly within one to three days after the surgery.

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