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Radiology Forum
November 1999

Quiz Case 2

Author Affiliations
 

R. NICKBRYANMDS. JAMESZINREICHMD

Arch Otolaryngol Head Neck Surg. 1999;125(11):1271. doi:

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.

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