Recurrent Mucocele of the Accessory Parotid Gland Managed via Extraoral Approach: A Rare Case Report
DOI:
https://doi.org/10.54361/LJMR.20.1.34Keywords:
accessory parotid gland, mucocele, recurrent, extraoral approach, facial nerve, salivary fistulaAbstract
Background: Mucoceles of the accessory parotid gland are rare, and recurrent cases pose a significant surgical challenge due to the risk of facial nerve injury and incomplete excision. Case Presentation: An 18-year-old male presented with a recurrent left mid-cheek swelling after two failed intraoral excisions. Magnetic resonance imaging revealed a 4.2 cm cystic lesion superficial to the masseter. Complete excision was achieved via an extraoral face-lift incision, with careful dissection and preservation of facial nerve branches. Histopathology confirmed a mucocele. Temporary facial nerve weakness and salivary fistula were managed conservatively with continued drainage, pressure dressing, and antisialagogue medication. Conclusion: Complete surgical excision via an extraoral approach offers a reliable management strategy for recurrent accessory parotid mucoceles, reducing recurrence risk and facilitating safe dissection around facial nerve branches.
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Copyright (c) 2026 Maraai Orafi, Yousef S.Z. Salem, Nabia Glengai, Enas Shaafi, Ahmed s Mikael, Mahmoud A. Aloriby (Author)
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