Zaman, Shakeel-uz, Zakir, Iqra, Faraz, Qazi, Ahmed, Amal-Asif, Kulloo, Praneta, Aqil, Shakil. (1398). Neuroendocrine Adenoma of Middle Ear Causing Acute Onset Facial Palsy- A Rare Case Report. , 31(5), 305-310. doi: 10.22038/ijorl.2019.35819.2184
Shakeel-uz Zaman; Iqra Zakir; Qazi Faraz; Amal-Asif Ahmed; Praneta Kulloo; Shakil Aqil. "Neuroendocrine Adenoma of Middle Ear Causing Acute Onset Facial Palsy- A Rare Case Report". , 31, 5, 1398, 305-310. doi: 10.22038/ijorl.2019.35819.2184
Zaman, Shakeel-uz, Zakir, Iqra, Faraz, Qazi, Ahmed, Amal-Asif, Kulloo, Praneta, Aqil, Shakil. (1398). 'Neuroendocrine Adenoma of Middle Ear Causing Acute Onset Facial Palsy- A Rare Case Report', , 31(5), pp. 305-310. doi: 10.22038/ijorl.2019.35819.2184
Zaman, Shakeel-uz, Zakir, Iqra, Faraz, Qazi, Ahmed, Amal-Asif, Kulloo, Praneta, Aqil, Shakil. Neuroendocrine Adenoma of Middle Ear Causing Acute Onset Facial Palsy- A Rare Case Report. , 1398; 31(5): 305-310. doi: 10.22038/ijorl.2019.35819.2184

Neuroendocrine Adenoma of Middle Ear Causing Acute Onset Facial Palsy- A Rare Case Report

Iranian Journal of Otorhinolaryngology
مقاله 7، دوره 31، شماره 5 - شماره پیاپی 106، آذر و دی 2019، صفحه 305-310    اصل مقاله (402.67 K)
نوع مقاله: Case Report
شناسه دیجیتال (DOI): 10.22038/ijorl.2019.35819.2184
نویسندگان
Shakeel-uz Zaman* 1؛ Iqra Zakir2؛ Qazi Faraz2؛ Amal-Asif Ahmed2؛ Praneta Kulloo3؛ Shakil Aqil2
1Department of Otorhinolaryngology-Head and Neck Surgery, Liaquat College of Medicine & Dentistry and Darul Sehat Hospital, Karachi, Pakistan.
2Department of Otorhinolaryngology-Head and Neck Surgery, Liaquat National Hospital & Medical College, Karachi, Pakistan.
3Department of Otolaryngology-Head and Neck Surgery, St Mary's Hospital, London, United Kingdom.
چکیده
Introduction:
Acute facial nerve palsy secondary to neuroendocrine adenoma of the middle ear (NAME) is a rare disorder. There is only one case report in the literature describing similar findings.
 
Case Report:
A 50-year-old man initially presented to ENT clinic with a right-sided middle ear mass and normal facial nerve function. Over the next six days, he developed House-Brackmann grade II facial paralysis. He underwent urgent surgical exploration of the tympanic cavity and excision of the middle ear mass via a post-auricular approach. Histopathological and immunohistochemical analysis revealed NAME. Three weeks after the surgery, facial nerve function returned to normal. No recurrence was found at a 3-year follow-up.
 
Conclusion:
Acute onset facial palsy induced by NAME is an extremely rare disorder. For a patient already affected by hearing impairment resulted from middle ear mass, facial weakness can have a significant additional detrimental impact on their wellbeing. The early complete excision of tumor is recommended not only as a curative treatment but also restoration of facial function.
کلیدواژه‌ها
Acute؛ Adenoma؛ Facial nerve؛ Middle ear؛ Neuroendocrine؛ Palsy
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