Removal of unexpected schwannoma with superficial parotidectomy using modified-Blair incision and superficial musculoaponeurotic system folding: A case report
- Abstract
- Background: When a firm facial mass in the cheek region is associated with a high index of clinical suspicion of its being of parotid gland origin, preventive parotidectomy is invariably performed. We report a rare case of a schwannoma that was suspected to be of parotid gland origin in a patient, who underwent successful surgical management using a modified-Blair incision and superficial musculoaponeurotic system (SMAS) layer folding method.
Case summary: A 27-year-old woman presented to the hospital for evaluation of a firm, fixed, non-tender mass (2.5 cm × 3.5 cm), located anterior to the right ear, of 1 year's duration. Contrast-enhanced facial computed tomography revealed a well-encapsulated, low-density mass adherent to the superficial lobe of the right parotid gland, with a high index of clinical suspicion of an accessory parotid gland mass. The patient was scheduled to undergo resection of the mass and superficial parotidectomy. She underwent surgery using a modified-Blair incision, and the SMAS layer was folded posteriorly to reconstruct the defect. Histopathological examination confirmed the diagnosis of a schwannoma., and we observed no postoperative complications such as hematoma, infection, or abnormal facial expressions. The incision scar was unnoticeable 2 mo postoperatively, and the facial contour was maintained without any differences between the affected and unaffected sides.
Conclusion: We used a modified-Blair incision and SMAS layer folding method to achieve aesthetically good results following resection of a rare schwannoma with superficial parotidectomy in the cheek region.
- All Author(s)
- Ha-Jong Nam
; Hwan Jun Choi
; Je-Yeon Byeon
; Syeo-Young Wee
- Issued Date
- 2023
- Type
- Article
- Keyword
- Case report; Parotid gland; Schwannoma; Superficial musculoaponeurotic system
- Publisher
- Baishideng Publishing Group
- ISSN
- 2307-8960
- Citation Title
- World journal of clinical cases
- Citation Volume
- 11
- Citation Number
- 18
- Citation Start Page
- 4438
- Citation End Page
- 4445
- Language(ISO)
- eng
- DOI
- 10.12998/wjcc.v11.i18.4438
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/3383
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