R. NICKBRYANMDS. JAMESZINREICHMD
A 79-YEAR-OLD man presented with complete paralysis of the right facial nerve of a few hours' duration. He had a 6-year history of a slowly progressive, painful right parotid mass that had suddenly enlarged over a period of 24 hours. The rest of his medical history was not related to the present complaint.
On physical examination, a paralysis of all branches of the right facial nerve was seen. There was a large 5×10-cm tumor, involving the whole right parotid region, that was fixed deeply but not to the skin. It had a smooth surface and was tender on palpation, but there were no signs of inflammation. Further examination of the ears, nose, and throat showed no abnormalities other than a septal deviation to the right.
Rinkel RNPM, Manni JJ. Quiz Case 2. Arch Otolaryngol Head Neck Surg. 1999;125(11):1271. doi: