Neuroendocrine Adenoma of Middle Ear Causing Acute Onset Facial Palsy- A Rare Case Report

Acute facial nerve palsy secondary to neuroendocrine adenoma of the middle ear (NAME) is a rare disorder. There is only one case report in the literature describing similar findings. A 50-year-old man initially presented to ENT clinic with a right-sided middle ear mass and normal facial nerve functi...

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Bibliographic Details
Published in:Iranian journal of otorhinolaryngology 2019-09, Vol.31 (106), p.305-310
Main Authors: Zaman, Shakeel-Uz, Zakir, Iqra, Faraz, Qazi, Ahmed, Amal-Asif, Kulloo, Praneta, Aqil, Shakil
Format: Article
Language:English
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Case Report
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Summary:Acute facial nerve palsy secondary to neuroendocrine adenoma of the middle ear (NAME) is a rare disorder. There is only one case report in the literature describing similar findings. A 50-year-old man initially presented to ENT clinic with a right-sided middle ear mass and normal facial nerve function. Over the next six days, he developed House-Brackmann grade II facial paralysis. He underwent urgent surgical exploration of the tympanic cavity and excision of the middle ear mass via a post-auricular approach. Histopathological and immunohistochemical analysis revealed NAME. Three weeks after the surgery, facial nerve function returned to normal. No recurrence was found at a 3-year follow-up. Acute onset facial palsy induced by NAME is an extremely rare disorder. For a patient already affected by hearing impairment resulted from middle ear mass, facial weakness can have a significant additional detrimental impact on their wellbeing. The early complete excision of tumor is recommended not only as a curative treatment but also restoration of facial function.
ISSN:2251-7251
2251-726X