Conley J, Selfe R W
Laryngoscope. 1981 Feb;91(2):205-10. doi: 10.1288/00005537-198102000-00004.
A review of 14 cases of occult neoplasms associated with facial paralysis indicated that when the onset was gradual over a period of weeks or months, when all of the scientific and technological investigations, including CT scanning, polytomes, neurosensory and otologic tests, sialography, lacrimation, taste, internal acoustic meatus, evaluation of the deep lobe of the parotid, and clinical examination of the parotid and neck were negative, the tumor was almost always found in association with the main trunk of the extratemporal portion of the parotid gland. Of these neoplasms, 80% were malignant tumors of the parotid gland and 15% were neurilemmomas of the main trunk of the facial nerve. The above situation is an indication for human assessment by surgical investigation of the facial nerve, with the first priority being given to the main trunk of the extratemporal portion.
一项对14例与面瘫相关的隐匿性肿瘤病例的回顾表明，当发病在数周或数月内逐渐出现，且所有科学技术检查，包括CT扫描、断层摄影、神经感觉和耳科检查、涎管造影、泪液分泌、味觉、内耳道、腮腺深叶评估以及腮腺和颈部的临床检查均为阴性时，肿瘤几乎总是与腮腺颞外部分的主干相关。在这些肿瘤中，80%是腮腺恶性肿瘤，15%是面神经主干的神经鞘瘤。上述情况表明需要通过对面神经进行手术探查来进行人体评估，首要重点是颞外部分的主干。
