Auricular facial paralysis refers to peripheral facial paralysis secondary to otitis media, which is called "pus, ear, mouth and eye deviation" in Chinese medicine. Some people have analyzed that facial paralysis complicated with acute otitis media accounts for 8%, and facial paralysis complicated with chronic otitis media accounts for 7%.

Facial paralysis caused by acute otitis media is mostly congenital fracture of facial nerve bone tube, with localized congestion and edema of nerve. If the degeneration is less than 90%, surgery is not needed, and only antibiotics and hormones can cure it.

Patients with facial paralysis caused by chronic otitis media complicated with osteomyelitis and cholesteatoma should undergo radical mastoidectomy at an early stage, regardless of nerve degeneration. Nerve decompression, anastomosis and transplantation must be carried out as appropriate on the basis of clear lesions; If the local infection is serious, the repair of facial nerve can be postponed after the focus is cleared.

Patients suspected of otogenic facial paralysis should be diagnosed and treated by otolaryngologists as soon as possible.