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  • Title: [Possibilities of diagnostic errors in paralysis of the 7th cranial nerve].
    Author: Stomeo F.
    Journal: Acta Otorhinolaryngol Ital; 1989; 9(6):629-33. PubMed ID: 2633605.
    Abstract:
    Approximately 5% of all facial paralyses are of neoplastic origin while approximately 80% represent idiopathic or Bell's palsies. Whenever a tumor is suspected accurate testing is imperative; testing aimed at the nerve trunk both above and especially below the stilomastoid foramen. In fact, occult neoplasms are much more frequently located within the parotid. The present work presents a case where facial palsy was associated with profound ipsilateral hearing loss. Diagnostic efforts were, therefore, focussed on the cerebello-pontine angle and the Fallopian canal, thus delaying recognition of its real etiology (a mucoepidermoid carcinoma of the parotid).
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