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Facial Asymmetry Involving the Parotid Gland of an Infant
C. W. Hicks, BA*,
P. R. Krakovitz, MD,
J. R. Reid, MD,
and
E. S. Rome, MD, MPH
* To whom correspondence should be addressed. E-mail: hicksc{at}ccf.org.
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Abstract |
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Lymphatic malformation (LM) is a benign congenital disorder that consists of vesicles or large cysts filled with lymphatic fluid. Here we describe the clinical, pathologic, and imaging features of a facial LM that extends from just below the dermis through the left parotid gland in a young child whom we have followed from age 7 weeks through 6 years. Imaging studies of the lesion show a microcystic lymphatic malformation of the left parotid region that is prone to infection and is gradually enlarging. The current management dilemma involves the choice between surgical excision, with the risks of cosmetic disfigurement and/or facial nerve injury, versus intermittent antibiotic therapy for recurrent infection. The role of steroids in treatment of a large facial LM is also discussed.
First published on June 4, 2009
Clinical Pediatrics 2009, doi:10.1177/0009922809336237
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