Lower motor neuron facial palsy secondary to parotid abscess - first sign of uncontrolled diabetes mellitus: a case report

Authors

  • Lakshmi Menon Ravunniarth Department of Otorhinolaryngology, Dr. B.R. Ambedkar Medical College, Bengaluru, Karnataka, India
  • Safina Kauser Department of Otorhinolaryngology, Dr. B.R. Ambedkar Medical College, Bengaluru, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20202228

Keywords:

Facial palsy, Parotid abscess, Diabetes mellitus

Abstract

Facial paralysis associated with parotid disease is usually caused by a malignant process. Facial nerve palsy due to parotid gland abscess is very rare with only about 10 previously reported cases. Parotid abscess with facial palsy may be the first presenting symptom of underlying diabetes mellitus. We report a case of a 35-year-old man, not a known case of diabetes or hypertension, who presented with a right sided parotid abscess and difficulty in mouth opening with grade 4 facial nerve palsy, who on investigation was found to have underlying uncontrolled diabetes mellitus. Parotid abscess is mainly seen in elderly, diabetic and immunocompromised. Facial nerve palsy secondary to parotid abscess is a rare condition but probably underreported. Facial nerve palsy associated with parotid abscess is rare and may be one of the first presenting feature of uncontrolled diabetes mellitus.

Author Biographies

Lakshmi Menon Ravunniarth, Department of Otorhinolaryngology, Dr. B.R. Ambedkar Medical College, Bengaluru, Karnataka, India

Assistant Professor

ENT

Safina Kauser, Department of Otorhinolaryngology, Dr. B.R. Ambedkar Medical College, Bengaluru, Karnataka, India

Post graduate

ENT

References

Venugopal M, Rajan S, Suma R, Thomas S. Etiopathogenesis of LMN facial palsy: Our experience. Indian J Otol. 2011;17:58-62.

Kristensen RN, Hahn CH. Facial nerve palsy caused by parotid abscess. J Laryngol Otol. 2012;126:322-4.

Alam M, Hasan SA, Singh PA. Facial Palsy due to Parotid Abscess: An Unusual Complication. Turk Arch Otorhinolaryngol. 2016;54(4):168–71.

Smith DR, Hartig GK. Complete facial paralysis as a result of parotid abscess. Otolaryngol Head Neck Surg. 1997;117:114-7.

Mohamad I, Ahmad MZ, Mohamad H. Parotid abscess with facial nerve paralysis in a young healthy female. Bangladesh J Otorhinolaryngol. 2011;2(1):147-9.

Grinell M, Logeman A, Knudsen T, Sayez Z. Deep parotid lobe abscess presenting with dysphagia and trismus. Case report. Hindawi. 2019: 2931015.

Ozkan A, Ors CH, Kosar S, Ozisik Karaman HI. Parotid Abscess with Involvement of Facial Nerve Branches. J Coll Physicians Surg Pak. 2015;25(8):613-4.

Hajiioannou JK, Florou V, Kousoulis P, Kretzas D, Moshovakis E. Reversible facial nerve palsy due to parotid abscess. Int J Surg Case Rep. 2013;4(11):1021-4.

Sabir Husin Athar PP, Yahya Z, Mat Baki M, Abdullah A. Facial nerve paralysis: a rare complication of parotid abscess. Malays J Med Sci. 2009;16(2):38-9.

Andrews JC, Abemayor E, Alessi DM, Canalis RF. Parotitis and Facial Nerve Dysfunction. Arch Otolaryngol Head Neck Surg. 1989;115(2):240-2.

Kusunoki T, Homma H, Kidokoro Y, Yanai A, Hara S, Kobayashi Y, et al. Facial nerve palsy due to parotid abscess with Warthin’s tumor. Otorhinolaryngol Head Neck Surg. 2017.

Orlandi MA, Pistorio V, Guerra PA. Ultrasound in sialadenitis. J Ultrasound. 2013;16(1):3–9.

Kim YY, Lee DH, Yoon TM, Lee JK, Lim SC. Parotid abscess at a single institute in Korea. Medicine (Baltimore). 2018;97(30):e11700.

Tan V, Goh B. Parotid abscess : a five year review- clinical presentation, diagnosis and management. J Laryngol Otol. 2007;121(9):872-9.

Shekar V, Sikander J, Rangdhol V, Naidu M. Facial nerve paralysis: A case report of rare complication in uncontrolled diabetic patient with mucormycosis. J Nat Sci Biol Med. 2015;6(1):226-8.

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Published

2020-05-22

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Section

Case Reports