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  • Title: Facial nerve palsy secondary to middle-ear lipoma.
    Author: Kasbekar AV, Donnelly N, Axon P.
    Journal: J Laryngol Otol; 2008 Jun; 122(6):e14. PubMed ID: 18416878.
    Abstract:
    OBJECTIVE: We present the first reported case of a middle-ear lipoma presenting with facial nerve palsy. We review the available literature on middle-ear lipomas and alert the surgeon to the possibility of a lipoma occurring in this location. CASE REPORT: A 33-year-old man presented to our unit with a right-sided, House-Brackmann grade two, lower motor neurone facial palsy. A computed tomography scan revealed abnormal soft tissue in the epitympanic recess, extending to the region of the geniculate ganglion. At middle-ear exploration, a lump of fatty tissue was found filling the anterior middle-ear cleft, juxtaposed to the horizontal portion of the facial nerve. The patient's facial palsy resolved within a few weeks of surgery. CONCLUSION: Lipomas are a rare but real differential diagnosis of a mass in the middle ear. Early imaging is advised.
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