Chew Zi Hao, Lim Eng Haw, Lum Sai Guan, Teo Davina Stasia Hui Ming
Otorhinolaryngology - Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Otorhinolaryngology - Head and Neck Surgery, Hospital Miri, Sarawak, MYS.
Cureus. 2022 Feb 22;14(2):e22509. doi: 10.7759/cureus.22509. eCollection 2022 Feb.
A parotid lesion with facial nerve involvement almost always indicates malignancy. Facial nerve palsy as a complication of parotid abscess is extremely rare. The postulated mechanisms include ischaemic neuropathy secondary to the compression of the facial nerve by the parotid swelling, local toxic effect and perineuritis from the inflammatory process. Here, we present our experience in managing a case of facial nerve palsy due to a parotid abscess in an otherwise healthy 44-year-old female. The abscess was drained surgically and the facial nerve function returned to normal at two months. Histopathological examination of the parotid tissue showed no features of malignancy. The severity of facial nerve impairment varied from grade II to total palsy. The mainstay of treatment of a parotid abscess is surgical drainage along with medical therapy including broad-spectrum antibiotics, adequate hydration and sialogogues.
累及面神经的腮腺病变几乎总是提示恶性肿瘤。腮腺脓肿并发面神经麻痹极为罕见。推测的机制包括腮腺肿大对面神经的压迫继发的缺血性神经病变、局部毒性作用以及炎症过程导致的神经炎。在此，我们介绍我们处理一名44岁健康女性因腮腺脓肿导致面神经麻痹病例的经验。脓肿通过手术引流，面神经功能在两个月时恢复正常。腮腺组织的组织病理学检查未显示恶性特征。面神经损伤的严重程度从二级到完全麻痹不等。腮腺脓肿治疗的主要方法是手术引流以及包括广谱抗生素、充足补液和催涎剂在内的药物治疗。
