The Journal of International
Advanced Otology
Case Report

Unilateral Facial Paralysis and Ophthalmoplegia Caused by Lower Lip Carcinoma: A Case Report


Department of Otorhinolaryngology, Hacettepe University School of Medicine, Ankara, Turkey


Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey

J Int Adv Otol 2021; 17: 179-181
DOI: 10.5152/JIAO.2021.7970
Read: 132 Downloads: 78 Published: 01 March 2021

We discuss a case of lower lip carcinoma which presented with atypical symptoms; facial paralysis, conductive type hearing loss, and ophthalmoplegia. Due to an earlier resection, no mass was evident on the primary examination. Diagnostic imaging revealed a mass originating from the lower lip, the perineural spread of the tumor along the left inferior alveolar nerve to the left infratemporal fossa and the left foramen ovale. Through a retrograde course from the foramen ovale, the tumor extended the ipsilateral cavernous sinus, Meckel’s cave, and cisternal portion of the CN V. This atypical spread pattern of the tumor caused symptoms that may be attributed to a diagnosis related to the ear. The biopsy confirmed squamous cell carcinoma, and the patient was referred for chemotherapy and radiotherapy.

Cite this article as: Katar O, Demir Bajin M, Günay Bulut E, Sennaroğlu L. Unilateral facial paralysis and ophthalmoplegia caused by lower lip carcinoma: A case report. J Int Adv Otol. 2021; 17(2): 179-81.

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