scholarly journals Oncocytoma of the Parotid Gland with Facial Nerve Paralysis

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Seijiro Hamada ◽  
Keishi Fujiwara ◽  
Hiromitsu Hatakeyama ◽  
Akihiro Homma

Parotid gland tumor with facial nerve paralysis is strongly suggestive of a malignant tumor. However, several case reports have documented benign tumors of the parotid gland with facial nerve paralysis. Here, we report a case of oncocytoma of the parotid gland with facial nerve paralysis. A 61-year-old male presented with pain in his right parotid gland. Physical examination demonstrated the presence of a right parotid gland tumor and ipsilateral facial nerve paralysis of House–Brackmann (HB) grade III. Due to the facial nerve paralysis, a malignant tumor of the parotid gland was suspected and right parotidectomy was performed. Oncocytoma was confirmed histopathologically. The facial nerve paralysis was resolved 2 months after surgery. During the follow-up period (one and a half years), no recurrence was observed. As the tumor showed a distinctive dumbbell shape and increased somewhat due to inflammation (i.e., infection), the facial nerve was pinched by the enlarged tumor. Ischemia and strangulation of the nerve were considered to be the cause of the facial nerve paralysis associated with the benign tumor in this case.

2020 ◽  
Vol 71 (1) ◽  
pp. 58-65
Author(s):  
Keizo EBIKO ◽  
Takashi ITO ◽  
Kumiko TAKATA ◽  
Taro SUGIMOTO ◽  
Taro FUJIKAWA ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Murat Damar ◽  
Aykut Erdem Dinç ◽  
Sultan Şevik Eliçora ◽  
Sultan Bişkin ◽  
Gül Erten ◽  
...  

Facial nerve schwannomas (FNS) are encapsulated benign tumors arising from Schwann cells of seventh cranial nerve. Most of the facial nerve schwannomas are localized in intratemporal region; only 9% of cases involve a portion of the extratemporal segment. Preoperative diagnosis is often unclear; diagnosis is often made intraoperatively. Management of intraparotid FNS is troublesome because of the facial nerve paralysis. In this report we presented a case of intraparotid schwannoma in a 55-year-old male patient complaining of a painless mass without peripheral facial nerve palsy in left parotid gland. Clinical features, preoperative and intraoperative diagnosis, and difficulties during management are discussed with the review of the literature.


2003 ◽  
Vol 117 (6) ◽  
pp. 511-513 ◽  
Author(s):  
Gino Marioni ◽  
Cosimo de Filippis ◽  
Elena Gaio ◽  
Gaetano Antonio Iaderosa ◽  
Alberto Staffieri

Facial nerve paralysis associated with a parotid gland tumour classically denotes malignancy. Only a few case reports have indicated benign parotid tumours as a cause of facial nerve palsy. We present a new case of facial nerve paralysis secondary to Warthin’s tumour of the parotid gland. It is important for clinicians to be aware that, on rare occasions, facial nerve dysfunction may result from benign parotid disease.


1989 ◽  
Vol 98 (8) ◽  
pp. 644-647 ◽  
Author(s):  
Howard L. DeLozier ◽  
Martin J. Spinella ◽  
Glenn D. Johnson

Facial paralysis in the presence of a parotid mass has been associated classically with a presumed diagnosis of malignancy. However, isolated case reports have documented the occurrence of paresis or paralysis secondary to pathologically benign, nonneurogenic parotid lesions. These previous cases have been reviewed and three additional cases are described. Comparisons are made on age, sex, symptoms, physical findings, pathologic findings, and prognosis. Involvement of the seventh nerve may be explained on the basis of compression, especially in association with local inflammation. Although facial paralysis still should be considered indicative of a malignancy, it also may be caused by benign masses, particularly those associated with rapid enlargement and/or infection.


PM&R ◽  
2014 ◽  
Vol 6 (8) ◽  
pp. S114
Author(s):  
Agustin Gutierrez Ruiz ◽  
Leire Ortiz Fernandez ◽  
M. Paz ◽  
Abaitua Ezquerra ◽  
Maite Pacheco Boiso

2017 ◽  
Vol 10 (1) ◽  
pp. 25-27
Author(s):  
Narendra Vikram Gurung ◽  
D Shrestha ◽  
A Acharya ◽  
A Gurung ◽  
S Shrestha ◽  
...  

Introduction: Tumors of the salivary gland are relatively uncommon and represent less than two percentage of all head and neck neoplasms. Parotid gland tumor comprises 85% of the salivary gland tumors of which 80% are being benign. Superficial parotidectomy is the commonest procedure done for parotid tumors which can be performed by either anteretrograde or retrograde facial nerve dissection technique.Methods: Outcome of 60 patients after superficial parotidectomy with retrograde facial nerve dissection has been studied.Results: Total of 60 patients had been studied. Complications like facial nerve weakness, Freys syndrome, salivary fistula, and wound infection were taken into account. Among them, 13.33% patients developed temporary facial nerve weakness, followed by temporary salivary fistula, 1.6%. None of the patients developed any severe complication.Conclusion: Superficial parotidectomy by retrograde facial nerve dissection is an easy technique to carry out with low complication rate and without compromising surgical outcome.Journal of Gandaki Medical CollegeVol. 10, No. 1, 2017, page: 25-27


2006 ◽  
Vol 99 (11) ◽  
pp. 941-944
Author(s):  
Kazuhiko Nario ◽  
Hiroshi Miyahara ◽  
Hiroshi Kajikawa

2021 ◽  
pp. 014556132110362
Author(s):  
Rohith S. Voora ◽  
Joshua Stramiello ◽  
Emily Funk ◽  
Joseph Califano

Accessory parotid gland (APG) tumors account for 1% to 7% of all parotid gland neoplasms but are more likely to be malignant than main parotid gland tumors. Management of APG neoplasms entails surgical excision. Four primary approaches to resection have been described in the literature with varying facial nerve outcomes. We report a case of a 4-cm APG pleomorphic adenoma utilizing a transoral approach for excision without postoperative facial nerve injury. A transoral approach is known to mitigate patients’ cosmetic concerns; however, prior reports utilized endoscopic assistance on patients with smaller tumors. We conclude that large APG tumors can be excised through a transoral approach without undue risk to the distal facial nerves, though this transoral approach ultimately may not be appropriate for malignant neoplasms or difficult dissections.


Sign in / Sign up

Export Citation Format

Share Document