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1 results

  • Facial nerve palsy caused by parotid gland abscess

  • R N Kristensen, C H Hahn
  • Journal:
    The Journal of Laryngology & Otology / Volume 126 / Issue 3 / March 2012
    Published online by Cambridge University Press:
    06 October 2011, pp. 322-324
    Print publication:
    March 2012
  • Objectives:

    We present the first report of methicillin-resistant Staphylococcus aureus and Propionibacterium acnes parotid abscesses complicated by facial nerve palsy. Facial nerve palsy secondary to parotid gland abscess is rare, with only eight previously reported cases.

    Method:

    Case reports and literature review concerning parotid abscess and facial nerve palsy presentation and management.

    Case reports:

    Within two months, two female patients presented with parotid gland abscess complicated by unilateral facial paralysis. Both were treated with intravenous antibiotics and surgery. In the first case, methicillin-resistant Staphylococcus aureus was cultivated, in the other, Propionibacterium acnes was found. In the first case, facial nerve function did not recover.

    Conclusion:

    Parotid gland abscess can lead to facial paralysis. Both methicillin-resistant Staphylococcus aureus and Propionibacterium acnes may be involved. Ultrasonography or computed tomography is recommended to exclude a parotid abscess in patients presenting with suppurative parotitis.