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Updated: Jun 10, 2026
Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
Published on: March 1, 2015
A 42-year-old man with facial nerve weakness and multiple recurrent pleomorphic adenoma
Margo McKenna Benoit1, Ophir Handzel, Michael J McKenna
1Department of Otology and Laryngology, Harvard Medical School, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, U.S.A.
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.
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