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Case Reports
. 2011 Jul;27(7):292-4.
doi: 10.1016/j.kjms.2010.11.009. Epub 2011 Apr 20.

Facial palsy as unusual complication of spontaneous intraparotid hematoma

Affiliations
Case Reports

Facial palsy as unusual complication of spontaneous intraparotid hematoma

Chang-Peng Chen et al. Kaohsiung J Med Sci. 2011 Jul.

Abstract

A 55-year-old healthy female without trauma history visited our hospital for rapidly progressive enlarging right side painful neck mass within 5 days and also with comorbid House-Brackmann Grade V facial palsy for 2 days. Magnetic resonance imaging showed heterogenous mass derived from parotid to parapharyngeal space. Much blood clot could be observed at exploratory operation. Only inflammatory change, but not tumor, was mentioned in pathology report. Facial palsy was kept stationary in Grade III from postoperative 6 months.

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Figures

Figure 1
Figure 1
A T2‐weighted axial magnetic resonance image showing gadolinium enhancement of a heterogenous tumor involving the right parapharyngeal space and parotid gland (arrow).
Figure 2
Figure 2
Right side parotid swollen area extended to infra‐auricular region.
Figure 3
Figure 3
Intraparotid hematoma when explored into parotid gland.

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