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Siew Min Keh, MRCS, DO-HNS; Mingyann Lim, MRCS, DO-HNS; Ravi Lingam, MRCP, FRCR
Northwick Park Hospital, London, England

Arch Otolaryngol Head Neck Surg. 2007;133(4):407.

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

A 54-year-old woman with a history of recurrent left-sided lower motor neuron facial palsy presented with left-sided atypical facial pain and gradual hearing impairment. Examination of the cranial nerves showed no abnormalities. There were no cerebellar or pyramidal signs. Endoscopic examination of the left nostril revealed a medial bulging, friable mass and thinning of the posterior maxillary wall. An audiogram demonstrated bilateral mild to moderate sensorineural hearing loss with a maximum hearing loss threshold of 50 dB. Magnetic resonance imaging revealed a 2.0x1.5x2.0-cm well-circumscribed heterogeneous mass in the left pterygopalatine fossa that bowed the posterior wall of the maxillary sinus anteriorly. The signal intensity of the mass was predominantly low on T1-weighted images (Figure 1) and intermediate to low on fluid-attenuated inversion recovery images (Figure 2), but it was . . . [Full Text of this Article]

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