Abstract
Parotid mass causing facial nerve palsy is rare, and is associated with malignant tumours. Acute infection or abscess leading to facial nerve palsy is an extremely rare complication. A literature review revealed only 16 cases of facial nerve palsy associated with suppurative parotitis or parotid abscess. We present a case of deep parotid abscess which is complicated by facial nerve dysfunction.
Highlights
A 42-year-old gentleman with no previously known co-morbidities presented in the OPD with painful swelling (R) parotid of 20 days duration, associated with intermittent fever, without chills/rigor
Parotid gland is prone to infection in conditions like general debility, dehydration etc
The factors implicated in the development of parotitis are oropharyngeal contamination, reduced salivary secretion, ductal obstruction, all in a vicious cycle leading to chronic recurrent sialadenitis and suppuration
Summary
A 42-year-old gentleman with no previously known co-morbidities presented in the OPD with painful swelling (R) parotid of 20 days duration, associated with intermittent fever, without chills/rigor. There was a lower motor neuron type marginal mandibular nerve palsy of (R) Facial Nerve (House-Brackman Grade V), Figure 1. (2014) A Rare Case of Suppurative Parotitis with Facial Nerve Palsy. MRI was done which revealed a gas and fluid filled 7 × 6 cm cyst in the superficial lobe of (R) parotid gland (Figure 2).
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