Removal of unexpected schwannoma with superficial parotidectomy using modified-Blair incision and superficial musculoaponeurotic system folding: A case report  

作　　者：Ha-Jong Nam Hwan Jun Choi Je-Yeon Byeon Syeo-Young Wee 

机构地区：[1]Department of Plastic and Reconstructive Surgery,Soonchunhyang University Gumi Hospital,Gumi-si 39371,Gyeonsangbuk-do,South Korea [2]Department of Plastic and Reconstructive Surgery,Soonchunhyang University Cheonan Hospital,Cheonan-si 31151,Chungcheongnam-do,South Korea

出　　处：《World Journal of Clinical Cases》2023年第18期4438-4445,共8页世界临床病例杂志

基　　金：Supported by Soonchunhyang Research Fund,No.2023-0030.

摘　　要：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 wellencapsulated,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.

关 键 词：SCHWANNOMA Parotid gland Superficial musculoaponeurotic system Case report 

分 类 号：R739.87[医药卫生—肿瘤]