Abstract
Hearing loss in a young adult can be devastating and prompt diagnosis and treatment of the cause are vital. This case report is of a young musician presenting to the ENT surgeons with deafness and a lower motor neurone facial nerve palsy which was given a presumptive diagnosis of infective pathology but subsequent investigations indicated this was an uncommon presentation of Wegener's Granulomatosis. Treatment involved systemic Cyclophosphamide followed by steroids and Azathioprine. Two years after commencing therapy the disease remains under control but the patient is left with bilateral hearing aids and a grade 3 facial nerve palsy. Diagnosis and treatment of this multi-system disease are discussed.
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