Kristensen R N, Hahn C H
ENT Department, Gentofte University Hospital, Copenhagen, Denmark.
J Laryngol Otol. 2012 Mar;126(3):322-4. doi: 10.1017/S0022215111002635. Epub 2011 Oct 6.
We present the first report of methicillin-resistant Staphylococcus aureus and Propionibacterium acnes parotid abscesses complicated by facial nerve palsy. Facial nerve palsy secondary to parotid gland abscess is rare, with only eight previously reported cases.
Case reports and literature review concerning parotid abscess and facial nerve palsy presentation and management.
Within two months, two female patients presented with parotid gland abscess complicated by unilateral facial paralysis. Both were treated with intravenous antibiotics and surgery. In the first case, methicillin-resistant Staphylococcus aureus was cultivated, in the other, Propionibacterium acnes was found. In the first case, facial nerve function did not recover.
Parotid gland abscess can lead to facial paralysis. Both methicillin-resistant Staphylococcus aureus and Propionibacterium acnes may be involved. Ultrasonography or computed tomography is recommended to exclude a parotid abscess in patients presenting with suppurative parotitis.
我们首次报告了耐甲氧西林金黄色葡萄球菌和痤疮丙酸杆菌引起的腮腺脓肿并发面神经麻痹。腮腺脓肿继发的面神经麻痹很罕见，此前仅有8例报告。
关于腮腺脓肿及面神经麻痹的表现和治疗的病例报告及文献综述。
在两个月内，两名女性患者出现腮腺脓肿并发单侧面瘫。两人均接受了静脉抗生素治疗和手术。第一例培养出耐甲氧西林金黄色葡萄球菌，另一例发现痤疮丙酸杆菌。第一例中，面神经功能未恢复。
腮腺脓肿可导致面瘫。耐甲氧西林金黄色葡萄球菌和痤疮丙酸杆菌都可能与之有关。对于出现化脓性腮腺炎的患者，建议进行超声检查或计算机断层扫描以排除腮腺脓肿。
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