Retrograde Parotidectomy Allowing Diagnosis of Parotid Lymphoma and Concomitant Facial Reanimation.

Modi, Rishi N; Davis Mills, Morgan; Zeng, David Z; Wang, Huan-You; Coffey, Charles S; Greene, Jacqueline J · Laryngoscope · 2026

case_report · Level V

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Abstract

We describe a rare case involving a 52-year-old woman presenting with a large facial mass and facial palsy in whom five biopsies were non-diagnostic. In the setting of a growing facial mass that evades traditional diagnostic methods, we describe a strategy of concurrent facial reanimation surgical approach and parotidectomy to safeguard the facial nerve, obtain a diagnostic tissue sample, and simultaneously reinnervate midfacial function with a CN V-VII nerve transfer.

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