A manual of otology for students and practitioners . Fig. 118.—Facial paralysis. Attempting to close the eyes. (Jelliffe.). Fig. 119.—Facial paralysis. Attempting to show the teeth. (JeUiffc )24 370 COMPLICATIONS OF PURULENT OTITIS MEDIA The patient cannot close the eye tightly and with thesame force as upon the opposite side, or the movementsof the muscles about the mouth on the involved side arenot so free. He cannot expose his teeth as much on thisside as on the other. He may still be able to whistle butdoes so with difficulty. As the paralysis deepens andfinally becomes complete, he will b
A manual of otology for students and practitioners . Fig. 118.—Facial paralysis. Attempting to close the eyes. (Jelliffe.). Fig. 119.—Facial paralysis. Attempting to show the teeth. (JeUiffc )24 370 COMPLICATIONS OF PURULENT OTITIS MEDIA The patient cannot close the eye tightly and with thesame force as upon the opposite side, or the movementsof the muscles about the mouth on the involved side arenot so free. He cannot expose his teeth as much on thisside as on the other. He may still be able to whistle butdoes so with difficulty. As the paralysis deepens andfinally becomes complete, he will be unable to close hiseye (Fig. 118) but in the attempt to do so rolls the corneabeneath the upper lid. He loses the ability to move theangle of the mouth and consequently cannot show histeeth (Fig. 119). Whistling becomes impossible and foodmay collect between the cheeks and the teeth, producingdifficulty during mastication. Chorda Tympani.—If the lesion causing the facialparalysis is in the Tallopian canal, the chorda tympaniis involved also. This causes loss of taste sense on theanterior two-thirds of the tongue
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