Acute facial-nerve paralysis with parotid adenolymphoma.
An 82-year-old woman presented with acute facial paralysis in association with parotid swelling following fine-needle aspiration cytology of a parotid adenolymphoma. Evacuation of a tense haematoma decompressed the nerve and led to complete recovery within 6 months. Additionally, the tumour is no longer evident, either clinically or radiologically, and fine-needle aspiration cytology appears to have been both diagnostic and, inadvertently, therapeutic in this case.
Berry
M G
MG
St Andrews Centre for Plastic and Burn Surgery, Broomfield Hospital, Chelmsford, Essex, UK.
Brown
A A
AA
Lee
P H
PH
Kangesu
L
L
D000235:Adenolymphoma / Q000150:complications* / Q000473:pathology; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle / Q000009:adverse effects; D004322:Drainage; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010305:Parotid Diseases / Q000209:etiology / Q000601:surgery; D010307:Parotid Neoplasms / Q000150:complications* / Q000473:pathology; D016896:Treatment Outcome