Vol - 25, Issue - 2
About the Journal
[This article belongs to Volume - 25, Issue - 2]
International Medical Journal
Journal ID : IMJ-21-01-2020-161
Total View : 191

Abstract : We present a case of an 80-year-old Malay lady with underlying diabetes and hypertension who presented with right-sided facial swelling at the angle of the mandible for about 3 years duration. Initially the swelling was small and painless however currently had been associated with pain and progressively increase in size. The patient also noted drooping of the right lower lip. However, patient denies dysphagia or odynophagia and association with weight loss or appetite. On examination, revealed right sided facial nerve palsy with well-defined mass at the angle of mandible. No neck nodes palpable and other ENT examinations were unremarkable. FNAC was reported as atypical cells seen suspicious of malignancy. CT scan of head and neck was reported as parotid malignancy with likelihood of facial nerve involvement. The patient was subjected for radical right total parotidectomy and selective neck dissection with pectoralis major for tissue reconstruction

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