Vol. 99  No. 11  November  2006

Parotid Gland Abscess with Facial Nerve Paralysis

Kazuhiko Nario and Hiroshi Miyahara
(Osaka General Medical Center)
Hiroshi Kajikawa
(Osaka Rosai Hospital)


   A case of parotid gland abscess with facial nerve paralysis was reported. A 61-year-old woman with pain and swelling of the left parotid gland was referred to our hospital. Two weeks previously, she had been diagnosed with parotitis and treated with an oral antibiotic. The pain and swelling of the left parotid gland initially improved; however, they returned and were much more severe. On examination at our hospital, a 6-cm, red, firm, painful mass was present at the left parotid gland. There was no pus from the orifice of the parotid duct. After admission she was treated with an intravenous antibiotic.
One day after admission, incomplete facial nerve paralysis occurred. Computed tomography demonstrated a low density area within the left parotid gland. She was diagnosed with parotid gland abscess with facial nerve paralysis. We emergently drained the abscess in the left parotid gland. Two weeks after the operation, her complaints subsided and the swelling of the parotid gland disappeared. Three months later, the facial nerve paralysis completely recovered.

Key words : parotid gland abscess, facial nerve paralysis, parotitis

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