Facial palsy after embolization with Squid® 12.

Endovascular procedures with liquid embolic agents such as ethylene-vinyl alcohol (EVOH) copolymers are indicated before surgical treatment of cervical paraganglioma. Consequently, these agents are now available as low viscosity formulations, one of which is Squid 12, which are demonstrating superior vascular penetration. Cases of facial paralysis secondary to embolization of cervical vascular lesions with classic embolic agents have been reported in the English literature, however, this complication has not been described with new generation options such as Squid 12.We describe the case of a 43-year-old patient with a left neck carotid paraganglioma. Embolization was performed under general anaesthesia before surgical excision. In the immediate postoperative period, the patient developed total left facial palsy. Since the imaging tests (Computed Tomography (CT) and Magnetic Resonance Imaging (MRI)) and neurological examination showed no involvement of additional cranial nerves (CN), we hypothesise that the main cause of this complication is ischemia of the vasa nervorum of CN VII secondary to embolization. Almost six months later, the patient continues to present total facial paralysis (Grade VI House-Brackmann facial paralysis scale), and palsy of the left CN X and XII as a complication secondary to surgical resection of the paraganglioma.This case is relevant since it is the first clinical case of permanent facial paralysis secondary to embolization with Squid 12.

[Dermoid cyst of the floor of the mouth]. / Quiste dermoide de suelo de boca.

Dermoid cysts are congenital lesions composed of tissues with different origins: ectoblastic, mesoblastic, or endoblastic, caused by a defect in the fusion of the embryonic lateral mesenchymatic mass. A true dermoid cyst is a cavity covered with epithelium showing keratinisation and presenting identifiable dermal appendices. We present a case of a male patient aged 53 years presenting tumouration on the floor of the mouth with an evolution of about 30 years. A bibliographic revision of this pathology is also presented.

Quiste dermoide de suelo de boca / Dermoid cyst of the floor of the mouth

Los quistes dermoides son lesiones congénitas constituidas por tejidos de varias procedencias: ectoblástico, mesoblástico o endoblástico. Tienen su origen en un defecto de fusión de las masas mesenquimatosas laterales embrionarias. El quiste dermoide verdadero está recubierto de epitelio que muestra queratinización y tiene apéndices de piel identificables. Presentamos el caso de un varón de 53 años de edad que presenta una tumoración en suelo de boca de unos 30 años de evolución. Se realiza una revisión bibliográfica de dicha patología

Dermoid cysts are congenital lesions composed of tissues with different origins: ectoblastic, mesoblastic, or endoblastic, caused by a defect in the fusion of the embryonic lateral mesenchymatic mass. A true dermoid cyst is a cavity covered with epithelium showing keratinisation and presenting identifiable dermal appendices. We present a case of a male patient aged 53 years presenting tumouration on the floor of the mouth with an evolution of about 30 years. A bibliographic revision of this pathology is also presented