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Gizli parotis apsesine bağlı fasyal paralizi

Year 2008, Volume: 18 Issue: 2, 115 - 117, 18.04.2008

Abstract

Parotis bezinin selim hastalıklarının fasyal paraliziye yol açması çok nadirdir. Literatürde akut süpüratif parotitis veya parotis apsesine bağlı fasyal paralizi gelişen yaklaşık 16 olgu bildirilmiştir. Bu yazıda gizli parotis apsesine bağlı fasyal paralizi gelişen 45 yaşında bir kadın hasta sunuldu. Başlangıçta hastada fasyal paralizi yoktu ve akut parotitisi düşündüren semptom ve bulgular için tıbbi tedavi düzenlendi. Üç gün sonra hastada sol taraflı, House-Brackmann HB derece 5 fasyal paralizi gelişmesi üzerine yapılan ultrasonografi incelemesinde, çevre dokularda enfla- masyona yol açan, 10x8 mm büyüklüğünde, pretragal hipoekoik bir kitle saptandı. Lezyondan alınan ince iğne aspirasyon biyopsisinde polimorfonükleer lökosit ve lenfositler görüldü; malign hücreye rastlanmadı. Tanı gizli parotis apsesi şeklinde kondu. Bir hafta sonra kitle kayboldu ve fasyal paralizi HB derece 4’e geriledi. İlk ayın sonunda fasyal paralizi HB derece 1 idi. Üç aylık takip sonunda hastanın fasyal sinir fonk- siyonu normale yakındı

References

  • House JW, Brackmann DE. Facial nerve grading sys- tem. Otolaryngol Head Neck Surg 1985;93:146-7.
  • Brook I. Acute bacterial suppurative parotitis: microbi- ology and management. J Craniofac Surg 2003;14:37-40.
  • Duff TB. Parotitis, parotid abscess and facial palsy. J Laryngol Otol 1972;86:161-5.
  • Shone GR, Stewart S. Facial paralysis in parotitis. Br J Surg 1985;72:902.
  • Andrews JC, Abemayor E, Alessi DM, Canalis RF. Parotitis and facial nerve dysfunction. Arch Otolaryngol Head Neck Surg 1989;115:240-2.
  • DeLozier HL, Spinella MJ, Johnson GD. Facial nerve paralysis with benign parotid masses. Ann Otol Rhinol Laryngol 1989;98(8 Pt 1):644-7.
  • Pang YT, Raine CH. Acute suppurative parotitis and facial paralysis. J Laryngol Otol 1996;110:91-2.
  • Smith DR, Hartig GK. Complete facial paralysis as a result of parotid abscess. Otolaryngol Head Neck Surg 1997;117:S114-7.
  • Marioni G, Rinaldi R, de Filippis C, Gaio E, Staffieri A. Candidal abscess of the parotid gland associated with facial nerve paralysis. Acta Otolaryngol 2003; 123:661-3.

Facial paralysis due to an occult parotid abscess

Year 2008, Volume: 18 Issue: 2, 115 - 117, 18.04.2008

Abstract

Facial paralysis associated with benign diseases of the parotid gland is very rare. It has been reported in approximately 16 cases of acute suppurative parotitis or parotid abscess. We presented a 45-year-old woman who developed facial paralysis secondary to an occult parotid abscess. Initially, there was no facial paralysis and the signs and symptoms were suggestive of acute parotitis, for which medical treatment was initiated. Three days later, left-sided facial palsy of HB HouseBrackmann grade 5 developed. Ultrasonography revealed a pretragal, hypoechoic mass, 10x8 mm in size, causing inflammation in the surrounding tissue. Fine needle aspiration biopsy obtained from the mass revealed polymorphonuclear leukocytes and lymphocytes. No malignant cells were observed. The lesion was diagnosed as an occult parotid abscess. After a week, the mass disappeared and facial paralysis improved to HB grade 4. At the end of the first month, facial paralysis improved to HB grade 1. At three months, facial nerve function was nearly normal.

References

  • House JW, Brackmann DE. Facial nerve grading sys- tem. Otolaryngol Head Neck Surg 1985;93:146-7.
  • Brook I. Acute bacterial suppurative parotitis: microbi- ology and management. J Craniofac Surg 2003;14:37-40.
  • Duff TB. Parotitis, parotid abscess and facial palsy. J Laryngol Otol 1972;86:161-5.
  • Shone GR, Stewart S. Facial paralysis in parotitis. Br J Surg 1985;72:902.
  • Andrews JC, Abemayor E, Alessi DM, Canalis RF. Parotitis and facial nerve dysfunction. Arch Otolaryngol Head Neck Surg 1989;115:240-2.
  • DeLozier HL, Spinella MJ, Johnson GD. Facial nerve paralysis with benign parotid masses. Ann Otol Rhinol Laryngol 1989;98(8 Pt 1):644-7.
  • Pang YT, Raine CH. Acute suppurative parotitis and facial paralysis. J Laryngol Otol 1996;110:91-2.
  • Smith DR, Hartig GK. Complete facial paralysis as a result of parotid abscess. Otolaryngol Head Neck Surg 1997;117:S114-7.
  • Marioni G, Rinaldi R, de Filippis C, Gaio E, Staffieri A. Candidal abscess of the parotid gland associated with facial nerve paralysis. Acta Otolaryngol 2003; 123:661-3.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Kadir Serkan Orhan This is me

Tayfun Demirel This is me

Elif Kocasoy Orhan This is me

Kubilay Yenigül This is me

Publication Date April 18, 2008
Published in Issue Year 2008 Volume: 18 Issue: 2

Cite

APA Orhan, K. S., Demirel, T., Kocasoy Orhan, E., Yenigül, K. (2008). Gizli parotis apsesine bağlı fasyal paralizi. The Turkish Journal of Ear Nose and Throat, 18(2), 115-117.
AMA Orhan KS, Demirel T, Kocasoy Orhan E, Yenigül K. Gizli parotis apsesine bağlı fasyal paralizi. Tr-ENT. April 2008;18(2):115-117.
Chicago Orhan, Kadir Serkan, Tayfun Demirel, Elif Kocasoy Orhan, and Kubilay Yenigül. “Gizli Parotis Apsesine bağlı Fasyal Paralizi”. The Turkish Journal of Ear Nose and Throat 18, no. 2 (April 2008): 115-17.
EndNote Orhan KS, Demirel T, Kocasoy Orhan E, Yenigül K (April 1, 2008) Gizli parotis apsesine bağlı fasyal paralizi. The Turkish Journal of Ear Nose and Throat 18 2 115–117.
IEEE K. S. Orhan, T. Demirel, E. Kocasoy Orhan, and K. Yenigül, “Gizli parotis apsesine bağlı fasyal paralizi”, Tr-ENT, vol. 18, no. 2, pp. 115–117, 2008.
ISNAD Orhan, Kadir Serkan et al. “Gizli Parotis Apsesine bağlı Fasyal Paralizi”. The Turkish Journal of Ear Nose and Throat 18/2 (April 2008), 115-117.
JAMA Orhan KS, Demirel T, Kocasoy Orhan E, Yenigül K. Gizli parotis apsesine bağlı fasyal paralizi. Tr-ENT. 2008;18:115–117.
MLA Orhan, Kadir Serkan et al. “Gizli Parotis Apsesine bağlı Fasyal Paralizi”. The Turkish Journal of Ear Nose and Throat, vol. 18, no. 2, 2008, pp. 115-7.
Vancouver Orhan KS, Demirel T, Kocasoy Orhan E, Yenigül K. Gizli parotis apsesine bağlı fasyal paralizi. Tr-ENT. 2008;18(2):115-7.