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They concluded: "These two cases highlight the importance of otitis media in the differential diagnosis of facial paralysis and focus on the originality of primary secretory otitis media in the Cavalier King Charles Spaniels." In a December 2019 article by Univeristy of Sydney, Australia researchers, they reviewed the records of 122 dogs presented at their hospital from 2001 to 2016 which had symptoms of facial nerve paralysis (FNP)

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