| Autor: |
Ferney, A., Menager, J., Schmerber, S., Quatre, R. |
| Předmět: |
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| Zdroj: |
European Annals of Otorhinolaryngology, Head & Neck Diseases; Sep2024, Vol. 141 Issue 5, p297-300, 4p |
| Abstrakt: |
Middle-ear adenoma is a rare benign endocrine tumor with slow progression, and can, in very rare cases, lead to recurrent peripheral facial palsy. A young man experienced three episodes of right peripheral facial palsy of incremental intensity, suggestive of barotrauma. CT and MRI found a tissue mass in the tympanic cavity, and biopsy diagnosed middle-ear adenoma. Electroneuromyography found 50% impairment of facial function. Closed right tympanoplasty with complete tumor resection enabled complete recovery of facial function within 1 month. Middle-ear adenoma is diagnosed on histology, as imaging on MRI can be non-specific, mimicking chronic otitis. Facial involvement is rare and is due to edematous compression of the vasa nervorum. Treatment is surgical, and follow-up should be prolonged. Palsy assessment on electroneuromyography indicates the urgency of treatment. [ABSTRACT FROM AUTHOR] |
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