[Infected parotid cyst as a cause of facial palsy]

E Gaio1, G Marioni, S Maria Ferraro

  • 1Universitäts-HNO-Klinik Würzburg.

Laryngo- Rhino- Otologie
|January 31, 2006
PubMed
Abstract

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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