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Updated: Jun 11, 2026

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
[Facial nerve palsy due to a benign parotid gland tumor]
M Grosheva1, M Ortmann, D Beutner
1Klinik und Poliklinik für HNO-Heilkunde, Kopf- und Halschirurgie der Uniklinik Köln. maria.grosheva@uk-koeln.de
Abstract:
Facial nerve palsy is rarely associated with an inflammatory parotid process. We present a case of peripheral facial palsy initiated by infection of a cystadenolymphoma of the parotid gland. The paresis progressed rapidly despite abating inflammation and 48-h antibiotic therapy. Following total parotidectomy the facial nerve paresis persisted for a period of 4 months. Histological work-up yielded a diagnosis of Warthin's tumor with necrotic changes. This case indicates that even benign processes can be associated with facial nerve palsy.
Insights
Facial nerve palsy can stem from benign parotid gland tumors like Warthin's tumor. Even non-cancerous growths can cause significant facial nerve dysfunction.
Area of Science:
- Neurology
- Otolaryngology
- Pathology
Background:
- Facial nerve palsy is infrequently linked to inflammatory parotid gland conditions.
- Parotid gland tumors, though often benign, can present with neurological complications.
Observation:
- A case of peripheral facial palsy was observed, originating from an infected cystadenolymphoma of the parotid gland.
- The facial nerve paresis rapidly worsened despite antibiotic treatment and decreasing inflammation.
Findings:
- Histological examination confirmed Warthin's tumor with necrotic changes as the cause.
- Facial nerve palsy persisted for four months post-surgery (total parotidectomy).
Implications:
- This case highlights that benign parotid tumors can precipitate facial nerve palsy.
- It underscores the importance of considering neoplastic processes in facial nerve paralysis, even in the absence of malignant indicators.
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