To describe a case and discuss the differential diagnosis of facial nerve paresis presenting years after resection of multiple recurrent parotid pleomorphic adenoma.
Case report of a patient on immunosuppressive therapy with facial nerve weakness 3 years after last resection for multiple recurrent pleomorphic adenoma.
Computed tomography and magnetic resonance imaging followed by surgical exploration, resection, and reconstruction.
Histopathologic diagnosis and treatment outcome.
Final diagnosis of recurrent pleomorphic adenoma causing compression of the facial nerve at the stylomastoid foramen.
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.
*Department of Otology and Laryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, U.S.A.; and †Department of Otolaryngology/Head and Neck Surgery, Tel-Aviv Sourasky Medical Center, Tel-Aviv, Israel
Address correspondence and reprint requests to Daniel G. Deschler, M.D., 243 Charles Street, Boston, MA 02135; E-mail: Daniel_Deschler@meei.harvard.edu
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