DeLozier H L, Spinella M J, Johnson G D
Section of Otolaryngology, College of Medicine, University of Vermont, Burlington.
Ann Otol Rhinol Laryngol. 1989 Aug;98(8 Pt 1):644-7. doi: 10.1177/000348948909800815.
Facial paralysis in the presence of a parotid mass has been associated classically with a presumed diagnosis of malignancy. However, isolated case reports have documented the occurrence of paresis or paralysis secondary to pathologically benign, nonneurogenic parotid lesions. These previous cases have been reviewed and three additional cases are described. Comparisons are made on age, sex, symptoms, physical findings, pathologic findings, and prognosis. Involvement of the seventh nerve may be explained on the basis of compression, especially in association with local inflammation. Although facial paralysis still should be considered indicative of a malignancy, it also may be caused by benign masses, particularly those associated with rapid enlargement and/or infection.
腮腺肿块伴有面神经麻痹传统上被认为与恶性肿瘤的诊断有关。然而，个别病例报告记录了继发于病理良性、非神经源性腮腺病变的轻瘫或瘫痪的发生。对这些既往病例进行了回顾，并描述了另外三例病例。对年龄、性别、症状、体格检查结果、病理检查结果和预后进行了比较。第七神经受累可基于压迫来解释，尤其是与局部炎症相关时。虽然面神经麻痹仍应被视为恶性肿瘤的指征，但也可能由良性肿块引起，特别是那些与快速增大和/或感染相关的肿块。
