Malignant peripheral nerve sheath tumors originating from the parotid gland are extremely rare. A 76-year-old male patient underwent an incisional biopsy for an ulcerated mass in the anteroinferior aspect of the left auricle. The diagnosis was made as malignant mesenchymal tissue sarcoma, but the patient refused treatment. Upon progressive growth of the mass within two months, he underwent a pa...

INTRODUCTION Malignant tumors of the parotid gland account scarcely for 5% of all head and neck tumors. Most of these neoplasms have a high tendency for recurrence, local infiltration, perineural extension, and metastasis. Although uncommon, these malignant tumors require complex surgical treatment sometimes involving a total parotidectomy including a complete facial nerve resection. Severe fun...

BACKGROUND A 41-year-old male patient developed a sialocele after partial parotidectomy for a parotid pleomorphic adenoma. The sialocele was effectively treated by a single injection with botulinum toxin type B combined with multiple needle aspirations. METHODS Ultrasound-guided infiltration of 2500 mouse-units of botulinum toxin type B in the residual parotid gland tissue under local anesthe...

OBJECTIVES/HYPOTHESIS To document the outcome and impact on general and symptom-specific quality of life (QOL) after various types of parotid resection. STUDY DESIGN General and symptom-specific QOL assessment at least 1 year after performed surgery. Retrospective data and outcome analysis of patients. METHODS Between 2004 and 2010, 353 parotid resections in 337 patients were conducted at t...

OBJECTIVE To assess the clinical presentation and outcome of surgical management of various parotid gland disorders requiring parotidectomy. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of General Surgery, Pakistan Institute of Medical Sciences (PIMS), Islamabad, from January 2003 to December 2010. METHODOLOGY Patients presenting in surgical OPD with parotid gland diso...

Abstract The case presented here is a delayed reconstruction of facial nerve defect after radical parotidectomy without useful stump at the stylomastoid foramen. A composite free flap was used to reconnect nerve’s intrapetrous portion peripheral branches and reconstruct soft-tissue deficit.