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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What are the risks involved in biopsy for facial paralysis ?

A 67 Female presents with a palpable nodule, left cheek 2months. A sonogram shows a serpentine cystic structure atleast 4 cm in length extending from the area of concern proximally towards the ear . There is no flow on color interrogation. Two ENT specialists will not do a frozen section due to risk for facial paralysis . Please provide any knowledge regarding the risks involved in removal or biopsy. Thank you. K. Bruno.
Fri, 27 Jan 2012
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HI! SURGICAL REMOVAL OF THE CYST OR PART OF CYST CAN DAMAGE THE FACIAL NERVE TERMINAL BRANCHES WHICH USUALLY PASS THROUGH THE INVOLVED AREA & CAN RESULT IN FACIAL PARALYSIS OF THAT SIDE -- THIS AT TIMES BECOMES A TOUGH DECISION FOR DRS AS THEY NEED A TISSUE OF INVOLVED SIDE FOR PROPER DIAGNOSIS
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