
Hi angel,
I saw a case of unilateral facial paralysis in a middle aged medium breed dog suffering form chronic ear infection a couple of months ago in my seeing practice.
This dog had a history of chronic ear problems, and presented to us with the symptoms of facial paralysis, ie. the eyelid, the ear, and the lip of the affected were all 'hanging' so to speak, as well as constant drooling. He could also not blink spontaneously. :(
he could not eat properly either and tried to lift his food out of his bowl into the air with the unaffected side, but was having little success the poor baby! :( he also had a head tilt which is also a sign of ear problems. (can be sign of other things too but one of the differential is an ear problem)
After clinical exam of ear, and neuro exam, and due to the history of obvious chronic otitis externa, the poor dog was given a course of strong antibiotics as the first course of action in this case. Unfortunatly for me, that was on my last day of easter seeing practice so I don't know how he did after that, as I was back in lectures.
Medical treatment of these cases, unfortunatly, is not always effectice, but it is the first thing one must try.
If this treatment does not resolve the infection, or if there is xray evidence of fluid or tissue in the tympanic bulla or chronic bone changes for that matter, a ventral bulla osteotomy (operation) can be performed followed by more antibiotics. Still, in some cases, facial nerve paralysis unfortunatly does not resolve spite of treatment, and the action to be taken in the case of a poor result with the antibiotics, is completely individual to the case presented.
I really hope it works out for you and your girl,
Carol :)