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Varix of the retromandibular vein within the parotid gland: case study

Published online by Cambridge University Press:  28 June 2013

G N Wali ,
T A R Mawby ,
F Sheerin  and
C A Milford
G N Wali
Affiliation:
Department of ENT, John Radcliffe Hospital, Oxford, UK
T A R Mawby*
Affiliation:
Department of ENT, John Radcliffe Hospital, Oxford, UK
F Sheerin
Affiliation:
Department of Neuro-radiology, John Radcliffe Hospital, Oxford, UK
C A Milford
Affiliation:
Department of ENT, John Radcliffe Hospital, Oxford, UK
*
Address for correspondence: Mr T A R Mawby, Department of ENT, John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, UK Fax: 01865 231200 E-mail: [email protected]
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Abstract

Objective:

To report a case of varix of the retromandibular vein within the parotid gland.

Methods:

Case report, and discussion of the appropriate selection and use of radiological investigation techniques.

Results:

A 64-year-old lady who presented with unilateral tinnitus underwent a magnetic resonance imaging scan to exclude a vestibular schwannoma. The magnetic resonance scout images revealed an incidental finding of a hyper-echoic mass within the parotid gland. The mass was most consistent with a pleomorphic adenoma. Ultrasound-guided fine needle aspiration cytology was arranged; the ultrasound identified the mass as a varix of the retromandibular vein and fine needle aspiration cytology was not performed.

Conclusion:

A varix of the retromandibular vein is a very rare cause of a parotid mass. Appropriate radiological investigations can prevent unnecessary invasive investigations or procedures.

Keywords

Parotid GlandVarixVein
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 8 , August 2013 , pp. 825 - 827
Copyright
Copyright © JLO (1984) Limited 2013 

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References

1Jahnke, V.Varicosity formation in the parotid gland [in German]. Laryngol Rhinol Otol (Stuttg) 1975;54:896–7Google ScholarPubMed
2Lacomme, Y, Massat, JM.Venous hemangioma of the parotid in adults [in French]. Ann Otolaryngol Chir Cervicofac 1984;101:615–19Google ScholarPubMed
3Dempsey, EF, Murley, RS.Vascular malformations simulating salivary disease. Br J Plast Surg 1970;23:77–84CrossRefGoogle ScholarPubMed
4Strome, M.Venous aneurysm of the parotid gland; case report. Ann Otol Rhinol Laryngol 1970;79:1019–21CrossRefGoogle ScholarPubMed
5Jensen, JL, Reingold, IM.Venous aneurysms of the parotid gland. Arch Otolaryngol 1977;103:493–5CrossRefGoogle ScholarPubMed
6Schulman, NH, Carothers, A, Gould, WJ.Parotid venous ectasia. Am J Otolaryngol 1981;2:59–61CrossRefGoogle ScholarPubMed
7Manni, JJ, Merx, JL, van den Broek, P, Thijssen, HO.A symptomatic venous anomaly of the parotid gland: case report and review of the literature. J Laryngol Otol 1988;102:565–7CrossRefGoogle ScholarPubMed
8Saeed, WR, Kolhe, PS, Smith, FW, Murray, GI.The ‘turkey wattle' sign revisited: diagnosing parotid vascular malformations in the adult. Br J Plast Surg 1997;50:43–6CrossRefGoogle ScholarPubMed
9Patey, DH.Tumours and other diseases of the salivary glands in relation to general physiology and pathology. J Laryngol Otol 1968;82:853–66CrossRefGoogle ScholarPubMed