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Otol Neurotol. 2010 Sep;31(7):1157-9. doi: 10.1097/MAO.0b013e3181ec1b73.

A 42-year-old man with facial nerve weakness and multiple recurrent pleomorphic adenoma.

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  • 1Department of Otology and Laryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, U.S.A.

Abstract

OBJECTIVE:

To describe a case and discuss the differential diagnosis of facial nerve paresis presenting years after resection of multiple recurrent parotid pleomorphic adenoma.

PATIENTS:

Case report of a patient on immunosuppressive therapy with facial nerve weakness 3 years after last resection for multiple recurrent pleomorphic adenoma.

INTERVENTIONS:

Computed tomography and magnetic resonance imaging followed by surgical exploration, resection, and reconstruction.

MAIN OUTCOME MEASURES:

Histopathologic diagnosis and treatment outcome.

RESULTS:

Final diagnosis of recurrent pleomorphic adenoma causing compression of the facial nerve at the stylomastoid foramen.

CONCLUSION:

Facial nerve weakness caused by a benign salivary gland tumor is rare. Although alternate diagnoses must be considered, recurrent pleomorphic adenoma alone may impair facial function by impinging on the nerve in the stylomastoid foramen.

PMID:
20657328
[PubMed - indexed for MEDLINE]
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