Andrews J C, Abemayor E, Alessi D M, Canalis R F
Division of Head and Neck Surgery, Harbor-UCLA Medical Center, Torrance 90509.
Arch Otolaryngol Head Neck Surg. 1989 Feb;115(2):240-2. doi: 10.1001/archotol.1989.01860260114026.
Paralysis of the facial nerve in association with suppurative parotitis is rare, with only ten previously reported cases. In some situations, inflammation surrounding a benign neoplasm accounted for the observed paralysis. In this article, three new cases of parotitis with associated facial nerve dysfunction are described, none of which was associated with a neoplasm. In one, an occult abscess was present and in another an aggressive necrotizing process was seen. The treatment of this disease should initially be conservative management with high doses of wide-spectrum antibiotics. In the majority of cases, resolution of the facial paralysis should follow. However, persistence of a parotid mass with continued facial palsy mandates surgical exploration to exclude the presence of an underlying neoplasm.
面神经麻痹合并化脓性腮腺炎较为罕见，此前仅有十例报道。在某些情况下，良性肿瘤周围的炎症是导致观察到的麻痹的原因。本文描述了三例伴有面神经功能障碍的腮腺炎新病例，均与肿瘤无关。其中一例存在隐匿性脓肿，另一例可见侵袭性坏死过程。该病的治疗应首先采用大剂量广谱抗生素进行保守治疗。在大多数情况下，面神经麻痹应会随之缓解。然而，如果腮腺肿块持续存在且面神经麻痹持续，则必须进行手术探查以排除潜在肿瘤的存在。
