26 Facial Paralysis in Children Facial paralysis is much less common in children than adults. The most common cause of acquired facial paralysis in children is otitis media; other causes are temporal bone trauma, Lyme disease, Bell palsy, Ramsay Hunt syndrome, and neoplasia (especially of the parotid). Congenital paralysis/paresis is often associated with anatomical and temporal bone abnormalities, including hemifacial microsomia, Möbius syndrome, and CHARGE
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