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Massive pleomorphic adenoma of the parotid gland: Surgical considerations

May 8, 2014  |  Alex Fernandez, MS; Ryan F. Osborne, MD, FACS; Jason S. Hamilton, MD, FACS

Preservation of the facial nerve and its branches requires special consideration when dealing with a large parotid mass. The traditional approach of anterograde dissection of the facial nerve proves ineffective in patients with large lesions that effectively obstruct the field of view and...

Accessory parotid malignancy requiring ductal transection

February 12, 2014  |  Avery Kaplan; Alex Fernandez, MS; and Ryan Osborne, MD, FACS

While malignancies of the accessory parotid gland are rare, when they do occur they jeopardize ductal integrity.

Melioidosis of salivary glands with coexisting diabetes: Management of a difficult case

January 21, 2014  |  M. Panduranga Kamath, MS, DLO; Kiran Bhojwani, MS; Mahabala Chakrapani, MD; Katara P. Vidyalakshmi, MD; K.P. Vishnuprasad, MBBS


Melioidosis is an infectious disease caused by the gram-negative bacillus Burkholderia pseudomallei. Melioidosis is endemic in Southeast Asia and northern Australia. An important risk factor for the development of melioidosis is the presence of diabetes mellitus, which...

Lymphoepithelial carcinoma of the parotid gland, a very unusual tumor: Case report and review

September 19, 2013  |  Natarajan Anantharajan, MRCS, MCh; Nagamuttu Ravindranathan, FRCS, FDRCS; Pathmanathan Rajadurai, MBBS, FRCPA


Lymphoepithelial carcinoma (LEC) of the parotid gland is rare. When it does occur, it is usually seen in Asians and Greenland Eskimos. An association with Epstein-Barr virus (EBV) infection has been documented. We report a case of EBV-associated LEC of the parotid gland in a 30...

Mucoepidermoid carcinoma presenting as a large cyst of the parotid gland in HIV disease

July 22, 2013  |  Nelson Goldman, MD; Sania Shuja, MD; Raafat Makary, MD; Reginald L. Griffin, MD


Cystic lesions of the parotid gland may be the presenting symptom in human immunodeficiency virus (HIV)-positive patients. The most common lesion is the benign lymphoepithelial cyst. Malignant lesions may also be associated with-or be hidden by-a cystic mass. We report a case...

Intraparotid neurofibromatosis presenting with multiple nodules

June 12, 2013  |  Ryan F. Osborne, MD, FACS; Jason S. Hamilton, MD, FACS; and Reena Gupta, MD, FACS

Often asymptomatic initially, neurofibromas may cause pain, weakness, and numbness as they grow as a result of compression of the underlying nerve fascicles.

Letters to the Editor

June 12, 2013  | 

Methicillin-resistant Staphylococcus aureus as a cause of neonatal suppurative parotitis: A report of two cases and review of the literature

June 12, 2013  |  Sean T. Donovan, MD; Grant T. Rohman, MD; John P. Selph, MD; Roy Rajan, MD; Rosemary M. Stocks, MD; and Jerome W. Thompson, MD, MBA


Suppurative parotitis is an uncommon entity identified in newborns. While Staphylococcus aureus has been frequently identified as the causative pathogen among the few patients diagnosed with neonatal suppurative parotitis (NSP), there has only been one prior case...

Facial nerve preservation in total parotidectomy for parotid tumors: A review of 27 cases

June 12, 2013  |  Soliman El-Shakhs, MD; Yaser Khalil, MD; and Asmaa Gaber Abdou, MD


We conducted a study to evaluate the success of facial nerve preservation in 27 adults with a parotid tumor who underwent total parotidectomy. Of this group, 11 patients had a malignant tumor, 10 had a recurrent benign tumor, and 6 had a primary benign tumor. Preoperatively, 7...

Secondary lymphoma of the parotid gland: Clinical experience

February 25, 2013  |  Lorraine Williams-Smith, MD, FACS; Reena Gupta, MD, FACS; and Ryan F. Osborne, MD, FACS

 It is important to remember that parotid lymphomas do occur and should be considered in the differential diagnosis for parotid masses.

Unilateral parotid agenesis associated with pleomorphic adenoma of ipsilateral accessory parotid gland

January 24, 2013  |  Ashu Bhalla Seith, MD, MAMS; Ankur Gadodia, MD, DNB, MNAMS, FRCR; Raju Sharma, MD, MNAMS; Rajinder Parshad, MS


Congenital agenesis of the parotid gland is rare, and its association with accessory parotid tissue is even rarer. We report an unusual case of unilateral agenesis of the left parotid gland associated with pleomorphic adenoma of the left accessory parotid gland. To best of our...

Intraparotid arterial aneurysm treated with embolization followed by surgical resection

December 31, 2012  |  Daniel T. Ganc, MD; Charles Prestigiacomo, MD; Soly Baredes, MD


We describe the case of a 41-year-old woman who presented to a local facial plastic surgeon for evaluation of a cosmetic defect of the cheek of 1 month's duration. When imaging revealed the presence of a vascular mass, the patient was referred to us. Further imaging...


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