Giant recurrent pleomorphic adenoma of the parotid gland with facial nerve palsy: A case report

Amaechi U; Uzodimma NU; Okwara BO; Chidiebele MC; Eze CB; Jacob JN

doi:10.61386/imj.v19i4.1390

Authors

Amaechi U Division of Plastic Surgery, Department of Surgery, Alex Ekwueme Federal University Teaching Hospital Abakaliki, Ebonyi State, Nigeria
Uzodimma NU Department of Surgery, Alex Ekwueme Federal University Ndufu Alike Ikwo, Ebonyi State, Nigeria
Okwara BO Department of Orthopaedics and Trauma, University of Nigeria Teaching Hospital Ituku-Ozalla, Enugu, Nigeria
Chidiebele MC David Umahi Federal University Teaching Hospital Uburu, Ebonyi State, Nigeria
Eze CB Department of Plastic Surgery, National Orthopaedic Hospital, Enugu, Nigeria
Jacob JN Department of Nursing Sciences, Southern Delta University Ozoro, Delta State, Nigeria

DOI:

https://doi.org/10.61386/imj.v19i4.1390

Abstract

Context: Pleomorphic adenoma is the most common benign salivary gland tumour, typically involving the parotid gland. Giant pleomorphic adenomas with prolonged progression and associated facial nerve palsy are rare and present management challenges.

Case presentation: We report the case of a 46-year-old male with a long-standing recurrent giant pleomorphic adenoma of the right parotid gland following previous excision, presenting with facial nerve palsy. The patient had undergone previous surgery approximately 12 years earlier, with recurrence reportedly occurring approximately four months later. Delayed presentation was attributed to financial constraints. The patient had total parotidectomy. Histopathologic examination showed pleomorphic adenoma without identified malignant transformation. Early postoperative recovery was satisfactory; however, longer-term assessment was limited because the patient was lost to follow-up after three months.

Conclusion: This case highlights the potential for neurological complications and extensive tumour growth in long-standing untreated pleomorphic adenoma. Early intervention and long-term follow-up improve overall outcome and quality of life.