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ENT General 6d44b238

A patient presents with hyperacusis, loss of lacrimation and loss of taste sensation in the anterior 2/3rd of the tongue. Oedema extends up to which level of facial nerve -

A
Vertical part
B
Vertical part proximal to nerve to stapedius
C
Vertical part and beyond nerve to stapedius
D
Proximal to geniculate ganglion
High-Yield Explanation
The patient is presenting with : - Hyperacusis: - Nerve to stapedius is involved. Loss of taste sensation in anterior 2/3 of tongue → Chorda tympani is involved. Loss of lacrimation → Greater superficial petrosal nerve is involved. Thus, the lesion is at or proximal to geniculate ganglion.

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