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James C. Andrews, MD; Elliot Abemayor, MD, PhD; David M. Alessi, MD; Rinaldo F. Canalis, MD

Arch Otolaryngol Head Neck Surg. 1989;115(2):240-242.

Abstract
• Paralysis of the facial nerve in association with suppurative parotitis is rare, with only ten previously reported cases. In some situations, inflammation surrounding a benign neoplasm accounted for the observed paralysis. In this article, three new cases of parotitis with associated facial nerve dysfunction are described, none of which was associated with a neoplasm. In One, an occult abscess was present and in another an aggressive necrotizing process was seen. The treatment of this disease should initially be conservative management with high doses of wide-spectrum antibiotics. In the majority of cases, resolution of the facial paralysis should follow. However, persistence of a parotid mass with continued facial palsy mandates surgical exploration to exclude the presence of an underlying neoplasm.

(Arch Otolaryngol Head Neck Surg 1989;115:240-242)

Author Affiliations
From the Division of Head and Neck Surgery, Harbor-UCLA Medical Center, Torrance, Calif, and the UCLA School of Medicine.

Footnotes
Accepted for publication Aug 15, 1988.

Reprint requests to Division of Head and Neck Surgery, Box 6, Harbor-UCLA Medical Center, 1000 Carson St, Torrance, CA 90509 (Dr Abemayor).

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