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Published on: March 1, 2015
[Infected parotid cyst as a cause of facial palsy]
E Gaio1, G Marioni, S Maria Ferraro
1Universitäts-HNO-Klinik Würzburg.
Background:
Inflammatory processes are a rare cause of peripheral facial palsy. In most cases even massive infection does not lead to a loss of facial nerve function. In the literature, only 8 cases of facial paralysis associated with parotid cyst have been described.
Patient And Results:
We present a case of facial palsy caused by an inflamed cyst of the parotid gland. The patient was operated on with the diagnosis malignant parotid tumor. The pathological report showed a squamous epithelial cyst, massive lymphocytic infiltration.
Conclusions:
As a rule the combination parotid gland lesion and facial palsy is a sign of malignancy, clinicians should be aware that, on rare occasions, facial nerve dysfunction may result from benign parotid gland disease.
Insights
Facial palsy can rarely be caused by benign parotid gland cysts. This case highlights that inflamed parotid cysts, not just malignancy, can lead to facial nerve dysfunction.
Area of Science:
- Otolaryngology
- Neurology
- Pathology
Background:
- Peripheral facial palsy is uncommon, with inflammatory causes being rare.
- Massive infections typically do not cause facial nerve dysfunction.
- Only eight cases of facial paralysis linked to parotid cysts exist in literature.
Observation:
- A patient presented with facial palsy attributed to an inflamed parotid gland cyst.
- The patient underwent surgery with an initial diagnosis of malignant parotid tumor.
- Pathological examination revealed a squamous epithelial cyst with significant lymphocytic infiltration.
Findings:
- The inflamed parotid cyst was the cause of the patient's facial palsy.
- Histopathology confirmed a benign squamous epithelial cyst, not a malignant tumor.
- The cyst exhibited extensive lymphocytic infiltration, indicating an inflammatory process.
Implications:
- Clinicians should consider benign parotid gland diseases as a cause of facial nerve dysfunction.
- Facial palsy in conjunction with parotid gland lesions is often indicative of malignancy, but exceptions exist.
- This case broadens the differential diagnosis for facial palsy, emphasizing inflammatory cysts.
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