TY - JOUR ID - 13543 TI - Neuroendocrine Adenoma of Middle Ear Causing Acute Onset Facial Palsy- A Rare Case Report JO - Iranian Journal of Otorhinolaryngology JA - IJORL LA - en SN - 2251-7251 AU - Zaman, Shakeel-uz AU - Zakir, Iqra AU - Faraz, Qazi AU - Ahmed, Amal-Asif AU - Kulloo, Praneta AU - Aqil, Shakil AD - Department of Otorhinolaryngology-Head and Neck Surgery, Liaquat College of Medicine & Dentistry and Darul Sehat Hospital, Karachi, Pakistan. AD - Department of Otorhinolaryngology-Head and Neck Surgery, Liaquat National Hospital & Medical College, Karachi, Pakistan. AD - Department of Otolaryngology-Head and Neck Surgery, St Mary's Hospital, London, United Kingdom. Y1 - 2019 PY - 2019 VL - 31 IS - 5 SP - 305 EP - 310 KW - Acute KW - Adenoma KW - Facial Nerve KW - Middle Ear KW - Neuroendocrine KW - Palsy DO - 10.22038/ijorl.2019.35819.2184 N2 - Introduction: Acute facial nerve palsy secondary to neuroendocrine adenoma of the middle ear (NAME) is a rare disorder. There is only one case report in the literature describing similar findings.   Case Report: A 50-year-old man initially presented to ENT clinic with a right-sided middle ear mass and normal facial nerve function. Over the next six days, he developed House-Brackmann grade II facial paralysis. He underwent urgent surgical exploration of the tympanic cavity and excision of the middle ear mass via a post-auricular approach. Histopathological and immunohistochemical analysis revealed NAME. Three weeks after the surgery, facial nerve function returned to normal. No recurrence was found at a 3-year follow-up.   Conclusion: Acute onset facial palsy induced by NAME is an extremely rare disorder. For a patient already affected by hearing impairment resulted from middle ear mass, facial weakness can have a significant additional detrimental impact on their wellbeing. The early complete excision of tumor is recommended not only as a curative treatment but also restoration of facial function. UR - https://ijorl.mums.ac.ir/article_13543.html L1 - https://ijorl.mums.ac.ir/article_13543_de82707ec24579d7e23857b8c5858d0c.pdf ER -