Recurrent facial palsy : A CARE case report

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INTRODUCTION: Middle-ear adenoma is a rare benign endocrine tumor with slow progression, and can, in very rare cases, lead to recurrent peripheral facial palsy.

CASE REPORT: A young man experienced three episodes of right peripheral facial palsy of incremental intensity, suggestive of barotrauma. CT and MRI found a tissue mass in the tympanic cavity, and biopsy diagnosed middle-ear adenoma. Electroneuromyography found 50% impairment of facial function. Closed right tympanoplasty with complete tumor resection enabled complete recovery of facial function within 1 month.

DISCUSSION: Middle-ear adenoma is diagnosed on histology, as imaging on MRI can be non-specific, mimicking chronic otitis. Facial involvement is rare and is due to edematous compression of the vasa nervorum. Treatment is surgical, and follow-up should be prolonged. Palsy assessment on electroneuromyography indicates the urgency of treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

European annals of otorhinolaryngology, head and neck diseases - (2024) vom: 27. März

Sprache:

Englisch

Beteiligte Personen:

Ferney, A [VerfasserIn]
Menager, J [VerfasserIn]
Schmerber, S [VerfasserIn]
Quatre, R [VerfasserIn]

Links:

Volltext

Themen:

Barotrauma
Journal Article
Middle-ear adenoma
Peripheral facial palsy

Anmerkungen:

Date Revised 28.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.anorl.2024.03.006

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370380886