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December 1982

Facial Palsy Associated With a Parotid Mass

Author Affiliations


Arch Otolaryngol. 1982;108(12):808. doi:10.1001/archotol.1982.00790600052015

To the Editor.—I would like to respond to remarks made to me by Dr Parker Cross of Norfolk, Va, in regard to a case published in the Archives entitled "Facial Nerve Paralysis Secondary to Benign Parotid Tumor" by LaVenuta et al (1969;90:603-604). I have treated one patient with an arteriovenous malformation of the parotid gland who was seen with a facial paralysis.1 The patient related that the mass would swell acutely and become painful on lying down. This patient was seen with acute facial palsy associated with a parotid mass. The possibility always exists that the palsy was unrelated to the mass and represented a coincidental Bell's palsy. I believe that the diagnosis of Bell's palsy should not be made if an underlying cause can be found.

It is important that one not assume that a facial paralysis associated with a parotid mass is due to a cancer.