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A case of middle-ear cavernous lymphangioma with facial palsy

Published online by Cambridge University Press:  16 December 2010

R Hirai ,
M Ikeda ,
H Kishi ,
Y Nomura  and
S Shigihara
R Hirai*
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
M Ikeda
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
H Kishi
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
Y Nomura
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
S Shigihara
Affiliation:
Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, Tokyo, Japan
*
Address for correspondence: Dr Ryoji Hirai, Department of Otolaryngology–Head and Neck Surgery, Nihon University School of Medicine, 30-1 Oyaguchi-kamimachi, Itabasi-ku, Tokyo 173-8610, Japan Fax: +81 3 3972 1321 E-mail: aloha.hirai@canvas.ocn.ne.jp
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Abstract

Objective:

Only a few benign tumours of the middle ear have been reported to lead to the development of facial palsy. Here, we describe a patient with middle-ear cavernous lymphangioma and facial palsy.

Study design:

Single case study.

Patient:

A 61-year-old man presented with left-sided hearing impairment and incomplete left facial palsy. A tumour was confirmed to be occupying the epi- to mesotympanum and to be joined to the facial nerve. The tumour was removed along with facial nerve tissue, which was resected at its horizontal portion, and the remaining facial nerve was fixed by end-to-end anastomosis. Complete facial paralysis occurred after the operation, but the patient's House–Brackmann grade gradually improved to grade III. Post-operative histopathological examination revealed infiltration of the lymphangioma into the facial nerve tissue, together with mild neural atrophy of the facial nerve.

Conclusion:

These findings suggested that tumour invasion was the cause of facial palsy in this patient.

Keywords

Ear, MiddleLymphangiomaPathologyFacial Paralysis
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 4 , April 2011 , pp. 405 - 409
Copyright
Copyright © JLO (1984) Limited 2010

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