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CASE REPORT
Year : 2017  |  Volume : 7  |  Issue : 2  |  Page : 319-321

Surgical resection of a parotid gland hemangioma in teenager managed with external carotid artery ligation


1 Department of Oncologic Surgery, Division of Onco-Hematologic Diseases, Hospital Regional de Alta Especialidad del Bajío, León, Mexico
2 Division of Plastic and Reconstructive Surgery, Hospital General “Dr. Manuel Gea González”, Maxico City, Mexico
3 Department of Surgery, Division of Digestive Diseases, Hospital Regional de Alta Especialidad del Bajío, León, Mexico
4 Universidad De La Salle Bajío, León, Mexico
5 Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”, Maxico City, Mexico

Correspondence Address:
David F Navarro-Barquin
Division of Plastic and Reconstructive Surgery, Hospital General “Dr. Manuel Gea González” Mexico City
Mexico
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DOI: 10.4103/ams.ams_99_17

PMID: 29264308

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Parotid gland hemangiomas represent <0.6% of the total tumors of the gland and there are <50 tumors reported during adult age, so there is no standard treatment. A 18-year-old female presents with a mass in the right parotid gland of 18 months of a slow progressive asymptomatic growth; on physical examination, only the mass was detected. An angiography was performed, and it reported a possible hemangioma that depends on the right internal maxillary artery and right facial artery and was not suitable for embolization. Total parotidectomy was performed with prior ligation of the right external carotid artery, complete resection was achieved and preservation of the facial nerve and all branches with minimal loss of blood (150 cc). External carotid artery ligation is a safe technique that can be considered in carefully selected patients with vascular tumors that affect the head and neck to achieve a clean and safe surgery with minimal sequels.


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