Accessory parotid gland masses

Tumors of the Accessory Lobe of the Parotid Gland: A 10‐Year Experience

“…The differential diagnosis of masses of the midcheek region include parotid gland cyst or arteriovenous malformation; Stenson's duct stone, cyst, or neoplasm; hemangioma; adnexal tumors; neural tumors; benign or malignant adenopathy; metastatic disease; and benign or malignant tumors of the accessory parotid tissue 2–7 . Accessory parotid gland neoplasms should be suspected in any patient presenting with a midcheek mass.…”

“…Lesions from this area may arise from normal anatomic anterior facial structures or from variations of normal accessory parotid gland tissue 2–7 . These glands typically lie between the buccal and zygomatic branches of the facial nerve and may have multiple connections by way of one or more small tributaries to Stenson's duct (Fig.…”

Endoscope‐assisted transoral accessory parotid mass excision

“…Therefore, again, although these tumors are rare, any patient presenting with a mid‐cheek mass should be suspected to have an accessory parotid gland tumor. Proper preoperative evaluation includes a careful physical examination, radiologic study, and FNA biopsy . FNA biopsy is a definitive histologic diagnosis procedure and makes an important contribution to decisions regarding surgical approach …”

Midcheek endoscopic anatomy

“…Beyond aesthetics, the midcheek area contains key anatomic structures that may be interested by benign or malignant neoplasms. Incidentally, lesions occurring in this district are infrequent and often benign …”