31.8.2006

Unusual parotid:

Parotidectomy in a 50 years old female with small parotid (R) mass 2 cm, reported on FNAC as lymph node within the  parotid! Actually at operation, the superficial lobe was found to be normal; the deep lobe had a soft swelling about 2 cm in diameter; aspiration yielded brownish fluid – degeneration? in the cyst. The cyst was enucleated intact from under the branches of the facial nerve – between the two trunks of the nerve. At a higher level in the preauricular area just above the parotid tissue was a lymph node. That too was excised. The suction drain came out during shifting of the patient; small hematoma developed as a result. Biopsy report – cyst parotid !  no malignancy.