Recurrent facial palsy: A CARE case report

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-01 DOI:10.1016/j.anorl.2024.03.006

引用次数: 0

Abstract

Introduction

Middle-ear adenoma is a rare benign endocrine tumor with slow progression, and can, in very rare cases, lead to recurrent peripheral facial palsy.

Case report

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.

Discussion

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.

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复发性面瘫：CARE 病例报告。

简介：中耳腺瘤是一种罕见的良性内分泌肿瘤，进展缓慢，极少数情况下可导致复发性周围性面瘫：中耳腺瘤是一种罕见的良性内分泌肿瘤，进展缓慢，在极少数情况下可导致复发性周围性面瘫：病例报告：一名年轻男子经历了三次右侧周围性面神经麻痹，且程度逐渐加重，提示为气压性外伤。CT 和 MRI 发现鼓室有组织肿块，活检诊断为中耳腺瘤。电切镜检查发现面部功能受损 50%。闭合性右鼓室成形术完全切除了肿瘤，面部功能在 1 个月内完全恢复：讨论：中耳腺瘤根据组织学诊断，因为核磁共振成像的影像学表现可能是非特异性的，模仿慢性中耳炎。面部受累很少见，是由于神经血管水肿压迫所致。治疗方法是手术，并应延长随访时间。电神经肌电图对麻痹的评估表明治疗的紧迫性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.