Heamangioma in parotid gland encroaching on the temporomandibular joint: A case report

Abstract

The majority of swellings in the parotid region are sialadenitis, neoplastic lesion or lymph node. Vascular malformation is a rare cause of swelling of the parotid gland. Parotid heamangioma usually presents as a cystic swelling in the preauricular area but may mimic sialadenitis making the diagnosis difficult. We are reporting, to our knowledge, the first case of parotid gland heamangioma with its clinical presentation, radiological and surgical features which extended medially to the temporomandibular joint. The rarity of such condition in head and neck region and misdiagnosis or failing to diagnose make this case more interesting to the maxillofacial surgeon.

Large Intraoral Maxillary Haemangioma in a Newly Born Infant

“…Rapid surgical excision was mandatory in the present case as it was causing obstruction to the oral cavity, unlike in other vascular malformation anomalies which require more aggressive excision with safety bony margin to avoid recurrence. (11) Follow up of this case was uneventful and no recurrence was detected.…”

Cavernous Haemangioma of the Parotid Gland in Adults: A Review of the Literature & Case Report

“…Where juvenile hemangioma, displays predominately in males [9]. With an observed Left-sided preference has been noted [16,17], in both parotid and submandibular gland cavernous hemangioma [15]. Haemangioma of major salivary gland especially parotid is quite common in pediatric population.…”

“…Haemangioma of major salivary gland especially parotid is quite common in pediatric population. Ninety percent of it arise in the first three decades of life and are the most common lesions of the major salivary glands during infancy and early childhood [4,17]. Few published studies have provided quantitative evidence of adult presentations of parotid cavernous hemangioma.…”

“…They were more common in the parotid gland with 87.5% of all salivary gland hemangiomas in comparison with 12% in submandibular gland [18]. A probable explanation of this big incidence difference between parotid and submandibular is the lack of a well-defined capsule and the presence of neurovascular structure in the parotid gland which can be challenging in the surgical option of treatment [17,18]. A ten years retrospective study, among 614 parotidectomy performed between 1998 and 2008 at Chirurgie Cervico-Faciale institution, France; were 462 (75%) had a total of 10 cases (1.6%) of vascular malformations have been identified.…”

“…Invasion is commonly by continuity with complete or partial replacement of parotid tissue [4,22]. Symptoms; dyspnea or dysphagia, when present were related to either the longstanding nature of the tumor or its size [17]. The main complaint related is usually aesthetic.…”