• J C Andrews, E Abemayor, D M Alessi, and R F Canalis.
• Division of Head and Neck Surgery, Harbor-UCLA Medical Center, Torrance 90509.
• Arch Otolaryngol. 1989 Feb 1; 115 (2): 240-2.

AbstractParalysis of the facial nerve in association with suppurative parotitis is rare, with only ten previously reported cases. In some situations, inflammation surrounding a benign neoplasm accounted for the observed paralysis. In this article, three new cases of parotitis with associated facial nerve dysfunction are described, none of which was associated with a neoplasm. In one, an occult abscess was present and in another an aggressive necrotizing process was seen. The treatment of this disease should initially be conservative management with high doses of wide-spectrum antibiotics. In the majority of cases, resolution of the facial paralysis should follow. However, persistence of a parotid mass with continued facial palsy mandates surgical exploration to exclude the presence of an underlying neoplasm.

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