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Parotid abscess causing facial palsy in a child: A case report
Samia Meherzi1, Amin Khbou1, Leila Jerbi1
1ENT Department, Hospital of Sidi Bouzid, Sidi Bouzid, Tunisia; University of Sousse, Faculty of Medicine of Sousse, Tunisia.
International Journal of Surgery Case Reports
|October 6, 2024
Summary
This case report details a rare pediatric parotid abscess causing facial palsy. Early antibiotic treatment and surgical drainage led to significant facial nerve recovery.
Area of Science:
- Pediatric Otolaryngology
- Infectious Diseases
- Neurology
Background:
- Parotid abscesses are uncommon in children.
- Facial nerve palsy secondary to parotid abscess is exceptionally rare.
Observation:
- A healthy 12-year-old presented with acute parotid swelling and Grade IV facial palsy.
- Staphylococcus aureus was identified as the causative agent.
- The patient received intravenous antibiotics and surgical drainage.
Findings:
- The parotid abscess and swelling resolved with treatment.
- Facial nerve function improved significantly, grading II on the House-Brackmann scale.
- Complete recovery was observed in this case of incomplete paralysis.
Implications:
- Early, targeted antibiotic therapy and surgical intervention are crucial for favorable outcomes.
- Prompt management can significantly improve facial motor function recovery in pediatric parotid abscess cases.
- Clinical expertise in managing this rare complication is vital for pediatricians and otolaryngologists.
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