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Recurrent facial palsy: A CARE case report.
A Ferney1, J Menager2, S Schmerber3
1Service d'oto-rhino-laryngologie et de chirurgie cervicofaciale, Centre hospitalo-universitaire Grenoble Alpes, BP 217, 38043 Grenoble cedex 09, France.
Summary
A rare middle-ear adenoma caused recurrent facial palsy in a young man. Surgical removal led to full recovery, highlighting the importance of prompt diagnosis and treatment for this benign tumor.
Area of Science:
- Otolaryngology
- Endocrinology
- Neurosurgery
Background:
- Middle-ear adenoma is a rare, slow-growing benign endocrine tumor.
- It can, in rare instances, cause recurrent peripheral facial palsy.
Observation:
- A young male presented with recurrent right peripheral facial palsy.
- Imaging revealed a tympanic cavity mass, diagnosed as middle-ear adenoma via biopsy.
- Electroneuromyography indicated 50% facial nerve impairment.
Findings:
- Surgical resection of the middle-ear adenoma was performed using closed tympanoplasty.
- Complete tumor removal resulted in full facial function recovery within one month.
Implications:
- Histological diagnosis is crucial as MRI findings can mimic chronic otitis.
- Facial nerve involvement results from vasa nervorum compression.
- Prompt surgical intervention and prolonged follow-up are essential for managing middle-ear adenoma with facial palsy.
