Parotid Abscess with Involvement of Facial Nerve Branches

J Coll Physicians Surg Pak. 2015 Aug;25(8):613-4.


Facial nerve paresis is only rarely seen with benign diseases of the parotid gland. A 22-year male had muscle loss in the preauricular region of the right side of his face that extended towards the mandibular angle for the last 6 months. The neurological examination did not reveal any pathology other than right preauricular region muscle atrophy that was limited by the mandibular angle. The Electroneuronography (EnoG) provided a ratio of 55.38%, compared the affected side to left side. Ultrasonography of the defined region showed two mass lesions 13.5 x 7 mm and 10 x 5 mm in size in the anteromedial section of the right parotid gland that were close to each other, without internal calcific foci, and heterogenous hyperechogenic structure without internal vascularization. Fine needle aspiration obtained many polymorphonuclear leukocytes, cell debris, a few mononuclear inflammatory cells and many crystalloid structures. The lesion was diagnosed as a parotid abscess. Antibiotic treatment was started for the parotid gland abscess.

Publication types

  • Case Reports

MeSH terms

  • Abscess / microbiology*
  • Amoxicillin / therapeutic use
  • Anti-Infective Agents / therapeutic use
  • Biopsy, Fine-Needle
  • Facial Paralysis / etiology*
  • Humans
  • Male
  • Metronidazole / therapeutic use
  • Parotid Diseases / diagnostic imaging
  • Parotid Diseases / pathology
  • Parotid Gland / diagnostic imaging
  • Parotid Gland / microbiology
  • Parotid Gland / pathology
  • Staphylococcal Infections / diagnosis*
  • Staphylococcal Infections / drug therapy
  • Staphylococcus aureus / isolation & purification*
  • Treatment Outcome
  • Ultrasonography
  • Young Adult


  • Anti-Infective Agents
  • Metronidazole
  • Amoxicillin