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A 42-Year-Old Man With Facial Nerve Weakness and Multiple Recurrent Pleomorphic Adenoma

Benoit, Margo McKenna*; Handzel, Ophir*†; McKenna, Michael J.*; Deschler, Daniel G.*

doi: 10.1097/MAO.0b013e3181ec1b73
Facial Nerve

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.

*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:

There are no funding sources to report.

© 2010 Otology & Neurotology, Inc.