Artikel Jurnal
Facial Nerve Paralysis in Nasopharyngeal Carcinoma: A Case Report
Nasopharyngeal carcinoma (NPC) is cancer originating from the mucosal
lining of nasopharynx, with the highest predilection in the fossa of
Rosenmüller. One-fifth of NPC cases have cranial nerve complications.
The location of Rosenmüller’s fossa which is adjacent to foramen lacerum
and middle base of the cranium allows the tumor to extend directly into
the cranium and surrounding cranial nerves. This paper reported a case of
facial nerve paralysis in NPC. A 55-year-old man came to the Ear-Nose-Throat
(ENT) Clinic at Dr. Kariadi General Hospital, Semarang with complaints
of facial pain on the right side, headache, a lump on the left neck, fullness
in ears, and nosebleed. However, the patient did not complain of double
vision. After a thorough history taking, physical examination, radiology, and
histopathology tests, the patient was diagnosed with WHO 3 ECOG I T3N2M0
stage III NPC with House Brackmann III facial nerve paresis at the level of
Mastoid segment. The patient was treated using chemotherapy treatment by
an ENT specialist with a chemotherapy regimen of paclitaxel-cisplatin for 6
cycles. In conclusion, although rare, NPC can cause facial nerve paralysis.
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