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  • Title: A 42-year-old man with facial nerve weakness and multiple recurrent pleomorphic adenoma.
    Author: Benoit MM, Handzel O, McKenna MJ, Deschler DG.
    Journal: Otol Neurotol; 2010 Sep; 31(7):1157-9. PubMed ID: 20657328.
    Abstract:
    OBJECTIVE: To describe a case and discuss the differential diagnosis of facial nerve paresis presenting years after resection of multiple recurrent parotid pleomorphic adenoma. PATIENTS: Case report of a patient on immunosuppressive therapy with facial nerve weakness 3 years after last resection for multiple recurrent pleomorphic adenoma. INTERVENTIONS: Computed tomography and magnetic resonance imaging followed by surgical exploration, resection, and reconstruction. MAIN OUTCOME MEASURES: Histopathologic diagnosis and treatment outcome. RESULTS: Final diagnosis of recurrent pleomorphic adenoma causing compression of the facial nerve at the stylomastoid foramen. CONCLUSION: Facial nerve weakness caused by a benign salivary gland tumor is rare. Although alternate diagnoses must be considered, recurrent pleomorphic adenoma alone may impair facial function by impinging on the nerve in the stylomastoid foramen.
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