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September 17, 2026BMC SurgeryOpen Access

Giant intraparotid hemangioma presenting with facial nerve palsy in an adult: a rare case report of successful surgical excision and sural nerve graft reconstruction

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Authors

RGRogers Leonardo Baquero GarcíaJEJuan Esteban Ortiz ElejaldeJVJuan Carlos Vallejo-Soto

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Overview

Case report demonstrates successful radical excision and sural nerve grafting in a young adult with a giant parotid hemangioma, highlighting an effective strategy for restoring facial function.

Key Points

  • To describe the surgical management and delayed nerve reconstruction of an aggressive parotid vascular malformation presenting with advanced facial nerve palsy in a young adult.
  • Conducted diagnostic contrast-enhanced MRI evaluating a massive left parotid lesion extending into the parapharyngeal space in a 19-year-old male presenting with House-Brackmann Grade V facial palsy.
  • Performed radical surgical excision of the extensive infiltrative vascular mass encasing the internal carotid artery and jugular vein.
  • Executed staged surgical facial reanimation four months post-resection using an autologous sural nerve graft.
  • Complete surgical resection of the lesion was achieved despite deep extension and encasement of major cervical vasculature.
  • Delayed nerve grafting via a sural nerve graft successfully restored facial reanimation and symmetry.

Cite This Study

García et al. (2026) studied this question.

synapsesocial.com/papers/6aabb73d5f706d05830e61c8https://doi.org/10.1186/s12893-026-04188-1
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