A rare case of plasma cell granuloma arising from facial nerve
We present a 38 year old male with a rare case of plasma cell granuloma arising from facial nerve which posed a diagnostic and therapeutic challenge. He has no other comorbidities except for a history of left ear modified radical mastoidectomy performed in 2002 for cholesteatoma after which he recov...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Khesar Gyalpo University of Medical Sciences of Bh
2021-06-01
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| Series: | Bhutan Health Journal |
| Online Access: | https://bhj.com.bt/index.php/bhj/article/view/126 |
| _version_ | 1797650194561499136 |
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| author | Tika Ram Adhikari Biren Pradhan |
| author_facet | Tika Ram Adhikari Biren Pradhan |
| author_sort | Tika Ram Adhikari |
| collection | DOAJ |
| description | We present a 38 year old male with a rare case of plasma cell granuloma arising from facial nerve which posed a diagnostic and therapeutic challenge. He has no other comorbidities except for a history of left ear modified radical mastoidectomy performed in 2002 for cholesteatoma after which he recovered uneventfully. This time he presented with mass in the ear canal with ear block and otorrhea for 1 month duration. Initial biopsy revealed granulation tissue. CT scan revealed bony destruction with soft tissue mass. Diagnosis of recurrence of cholesteatoma was made for which he underwent MRM under general anesthesia. Intraoperatively, there was soft tissue mass filling the mastoid and the middle ear and destruction of all ossicles. The mass was arising from facial nerve and there was bony dehiscence of facial nerve. The mass sent for histopathology revealed plasma cell granuloma. He recovered uneventfully with intact facial nerve and hearing level of 40 dB .Ear canal polyp should not be avulsed as it may arise from facial nerve and any mass should be subjected to histopathological examination and should not be left as granulation tissue. This case posed both diagnostic and therapeutic challenge and supported the hypothesis of that plasma cell granuloma are psudotumour and with proper excision and post-operative steroids, there will be complete remission. |
| first_indexed | 2024-03-11T15:56:41Z |
| format | Article |
| id | doaj.art-29fdedec2a0146f7b6e93b212c60a7d0 |
| institution | Directory Open Access Journal |
| issn | 2413-2993 2415-1114 |
| language | English |
| last_indexed | 2024-03-11T15:56:41Z |
| publishDate | 2021-06-01 |
| publisher | Khesar Gyalpo University of Medical Sciences of Bh |
| record_format | Article |
| series | Bhutan Health Journal |
| spelling | doaj.art-29fdedec2a0146f7b6e93b212c60a7d02023-10-25T09:38:33ZengKhesar Gyalpo University of Medical Sciences of BhBhutan Health Journal2413-29932415-11142021-06-0162313410.47811/bhj.107126A rare case of plasma cell granuloma arising from facial nerveTika Ram Adhikari0https://orcid.org/0000-0002-0143-2214Biren Pradhan1Department of Otorhinolaryngology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanDepartment of Pathology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, BhutanWe present a 38 year old male with a rare case of plasma cell granuloma arising from facial nerve which posed a diagnostic and therapeutic challenge. He has no other comorbidities except for a history of left ear modified radical mastoidectomy performed in 2002 for cholesteatoma after which he recovered uneventfully. This time he presented with mass in the ear canal with ear block and otorrhea for 1 month duration. Initial biopsy revealed granulation tissue. CT scan revealed bony destruction with soft tissue mass. Diagnosis of recurrence of cholesteatoma was made for which he underwent MRM under general anesthesia. Intraoperatively, there was soft tissue mass filling the mastoid and the middle ear and destruction of all ossicles. The mass was arising from facial nerve and there was bony dehiscence of facial nerve. The mass sent for histopathology revealed plasma cell granuloma. He recovered uneventfully with intact facial nerve and hearing level of 40 dB .Ear canal polyp should not be avulsed as it may arise from facial nerve and any mass should be subjected to histopathological examination and should not be left as granulation tissue. This case posed both diagnostic and therapeutic challenge and supported the hypothesis of that plasma cell granuloma are psudotumour and with proper excision and post-operative steroids, there will be complete remission.https://bhj.com.bt/index.php/bhj/article/view/126 |
| spellingShingle | Tika Ram Adhikari Biren Pradhan A rare case of plasma cell granuloma arising from facial nerve Bhutan Health Journal |
| title | A rare case of plasma cell granuloma arising from facial nerve |
| title_full | A rare case of plasma cell granuloma arising from facial nerve |
| title_fullStr | A rare case of plasma cell granuloma arising from facial nerve |
| title_full_unstemmed | A rare case of plasma cell granuloma arising from facial nerve |
| title_short | A rare case of plasma cell granuloma arising from facial nerve |
| title_sort | rare case of plasma cell granuloma arising from facial nerve |
| url | https://bhj.com.bt/index.php/bhj/article/view/126 |
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