An Interesting Case of Bilateral Facial Palsy due to Granulomatosis with Polyangiitis

Table 1

Comparison of similar reported cases in the literature.

Authorship	Report	Presentation	Treatment
A. R. et al., 2013	Bilateral facial palsy in rapidly progressive course of Wegener’s granulomatosis: a case report	Initially presented with bilateral otitis media, which progressed to bilateral facial palsy	Antromastoidectomy, decompression, and methylprednisolone followed by cyclophosphamide
A. W. et al., 2016	Granulomatosis with polyangiitis with bilateral facial palsy and severe mixed hearing loss	Presented with bilateral otitis media, left facial palsy, and later progressed to bilateral facial palsy	Myringoplasty, antromastoidectomy with facial nerve decompression, antibiotics, methylprednisolone, and cyclophosphamide
R. U. et al., 2016	A case of Wegener’s granulomatosis presenting with unilateral facial nerve palsy	Presented with left-sided facial palsy, with preceding ongoing persistent rhinorrhea	Methylprednisolone, cyclophosphamide, antituberculosis treatment, low-dose steroid, and azathioprine
P. D. et al., 1998	Otologic Wegener’s granulomatosis with facial nerve palsy	Presented with acute otomastoiditis with facial nerve involvement	Urgent mastoidectomy with facial nerve decompression
R. S. et al., 2021 (present case)	Bilateral facial palsy due to granulomatosis with polyangiitis	Presented with chronic maxillary sinusitis, bilateral otitis media, vertigo, and left-sided facial palsy, followed by right-sided facial palsy	Oral steroids, bilateral Grommet tube insertion, methylprednisolone, rituximab, and azathioprine