New-onset facial paralysis and undiagnosed recurrence of cutaneous malignancy: evaluation and management.

Abstract:

:Perineural invasion of cranial nerves, including the facial nerve by squamous cell carcinoma of the skin, is a poor prognostic factor for recurrent disease and disease-specific mortality. We discuss 2 patients who presented to the Otolaryngology/Head and Neck Surgery service with complete facial nerve paralysis and a history of skin cancer. Based on our experience with these patients, we recommend that patients who present with facial nerve paralysis and a history of cutaneous malignancy undergo aggressive management including early intervention and complete exploration of the facial nerve from the geniculate ganglion out to the periphery. Such rigorous care achieves the best possible oncologic outcomes for a proven aggressive disease.

journal_name

Am J Otolaryngol

authors

Scurry WC Jr,Isaacson JE,Fedok FG

doi

10.1016/j.amjoto.2005.07.017

subject

Has Abstract

pub_date

2006-03-01 00:00:00

pages

139-42

issue

2

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(05)00146-8

journal_volume

27

pub_type

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