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A case of middle-ear cavernous lymphangioma with facial palsy

Published online by Cambridge University Press:  16 December 2010

R Hirai ,
M Ikeda ,
H Kishi ,
Y Nomura  and
S Shigihara
R Hirai*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
M Ikeda
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
H Kishi
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
Y Nomura
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
S Shigihara
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
*
Address for correspondence: Dr Ryoji Hirai, Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, 30-1 Oyaguchi-kamimachi, Itabasi-ku, Tokyo 173-8610, Japan Fax: +81 3 3972 1321 E-mail: aloha.hirai@canvas.ocn.ne.jp
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Abstract

Objective:

Only a few benign tumours of the middle ear have been reported to lead to the development of facial palsy. Here, we describe a patient with middle-ear cavernous lymphangioma and facial palsy.

Study design:

Single case study.

Patient:

A 61-year-old man presented with left-sided hearing impairment and incomplete left facial palsy. A tumour was confirmed to be occupying the epi- to mesotympanum and to be joined to the facial nerve. The tumour was removed along with facial nerve tissue, which was resected at its horizontal portion, and the remaining facial nerve was fixed by end-to-end anastomosis. Complete facial paralysis occurred after the operation, but the patient's House–Brackmann grade gradually improved to grade III. Post-operative histopathological examination revealed infiltration of the lymphangioma into the facial nerve tissue, together with mild neural atrophy of the facial nerve.

Conclusion:

These findings suggested that tumour invasion was the cause of facial palsy in this patient.

Keywords

Ear, MiddleLymphangiomaPathologyFacial Paralysis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 4 , April 2011 , pp. 405 - 409
Copyright
Copyright © JLO (1984) Limited 2010

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References

1Yamamoto, E, Ohmura, M, Isono, M, Hirano, Y, Mizukami, C. Middle-ear paraganglioma masquerading as traumatic facial nerve palsy. ORL J Otorhinolaryngol Relat Spec 1991;53:177–9CrossRefGoogle ScholarPubMed
2Michaels, L, Hellquist, HB. Ear, Nose and Throat Histopathology, 2nd edn.London: Springer, 2001;71–2CrossRefGoogle Scholar
3Jahrsdoerfer, RA, Fechner, RE, Moon, CN, Selman, JW, Powell, JB. Adenoma of the middle ear. Laryngoscope 1983;93:1041–4Google Scholar
4Hagen, WE, Leonard, GL, Ichionse, H, Cox, RH. Primary monomorphic adenoma of the middle ear. Laryngoscope 1980;90:1962–72CrossRefGoogle Scholar
5Salib, RJ, Tziambazis, E, McDermott, AL, Chavada, SV, Irving, RM. The crucial role of imaging in detection of facial nerve haemangiomas. J Laryngol Otol 2001;115:510–13Google Scholar
6Piccirillo, E, Aqarwal, M, Rohit, MS, Khrais, T, Sanna, M. Management of temporal bone hemangiomas. Ann Otol Rhinol Laryngol 2004;113:431–7Google Scholar
7Eby, TL, Fisch, U, Makek, MS. Facial nerve management in temporal bone hemangiomas. Am J Otol 1992;13:223–32Google ScholarPubMed
8Bailey, BJ. Head and Neck Surgery-Otolaryngology. Philadelphia: Lippincott William & Wilkins 2001;1561–73Google Scholar
9Kennedy, TL. Cystic hygroma-lymphangioma: a rare and still unclear entity. Laryngoscope 1989;99:1–10CrossRefGoogle ScholarPubMed
10Hancock, BJ, St-Vil, D, Luks, FI, Di Lorenzo, M, Blanchard, H. Complications of lymphangiomas in children. J Pediatr Surg 1992;27:220–6CrossRefGoogle ScholarPubMed
11Nazarian, GK, Gebarski, SS, Niparko, JK. Cranial lymphangiomatosis causing CSF otorrhea and recurrent meningitis: CT features. J Comput Assist Tomogr 1990;14:121–3CrossRefGoogle ScholarPubMed
12Evans, DA, Baugh, RF, Gildsdorf, JR, Heidelberger, KP, Niparko, JK. Lymphangiomatosis of skull manifesting with recurrent meningitis and cerebrospinal fluid otorrhea. Otolaryngol Head Neck Surg 1990;103:642–6Google Scholar
13Ajal, M, Roche, J, Turner, J, Fagan, P. Unusual lesions of the internal auditory canal. J Laryngol Otol 1998;112:650–3CrossRefGoogle ScholarPubMed
14Tanna, N, Sidell, D, Schwartz, AM, Schessel, DA. Cystic lymphatic malformation of the middle ear. Ann Otol Rhinol Laryngol 2008:117:824–6CrossRefGoogle ScholarPubMed