Douse DM, Dornhoffer JR, Benson JC, Lane JI, Carlson ML. Natural history of facial paraganglioma with 2 decades of follow-up: A case report and literature review.
Am J Otolaryngol 2023;
44:103952. [PMID:
37329696 DOI:
10.1016/j.amjoto.2023.103952]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2023] [Accepted: 06/04/2023] [Indexed: 06/19/2023]
Abstract
OBJECTIVE
To report 20 years of natural history data for a facial paraganglioma and provide a comprehensive review of the existing literature.
PATIENT
81-year-old female with a remote history of cardiac arrest while under anesthesia who elected to observe her facial paraganglioma for 20 years.
INTERVENTIONS
Observation, clinical documentation, radiographic surveillance.
MAIN OUTCOME MEASURES
Tumor progression, patient symptomatology, and review of management options.
RESULTS
The initial presentation of the facial paraganglioma was facial spasm. Over the course of observation, symptoms progressed to include complete facial nerve paralysis, pulsatile tinnitus, and otalgia on the affected side. Radiologic surveillance demonstrated incremental growth and erosion of surrounding structures, including the posterior external auditory canal, stylomastoid foramen, and lateral semicircular canal with near-dehiscence. Twenty-four cases of facial paraganglioma were identified in the extended literature search and are summarized herein.
CONCLUSIONS
This unique case contributes to the scarce literature surrounding facial paragangliomas by reporting the extended natural history of this disease.
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