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Paramesh Puttasiddaiah, MS; Manoj Kumar, FRCS; Colin P. Fielder, FRCS
Singleton Hospital, Swansea, Wales

Arch Otolaryngol Head Neck Surg. 2005;131:1024.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 63-year-old woman presented to the otolaryngology outpatient department with a 1-year history of right-sided facial paralysis. The facial paralysis had initially been diagnosed as Bell palsy, but failure of response to conservative management prompted the patient’s general practitioner to refer her to an otolaryngologist. The facial nerve weakness had been slowly progressive. The patient also complained of reduced hearing in her right ear but denied any pain, vertigo, or tinnitus.

Physical examination revealed a complete lower motor neuron facial paralysis on the right side. Examination of the right ear showed a polypoidal swelling deep in the ear canal, lateral to the tympanic membrane. There was no evidence of acute ear infection. The right parotid gland was prominent, but no discrete lump was felt on palapation. An ultrasound scan identified a hypoechoic lesion within the deep lobe of the parotid . . . [Full Text of this Article]

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