Transoral Excision of a Large Accessory Parotid Gland Tumor

Accessory parotid gland (APG) tumors account for 1% to 7% of all neoplasms but are more likely be malignant than main tumors. Management APG entails surgical excision. Four primary approaches resection have been described in the literature with varying facial nerve outcomes. We report a case 4-cm pleomorphic adenoma utilizing transoral approach excision without postoperative injury. A is known mitigate patients’ cosmetic concerns; however, prior reports utilized endoscopic assistance on patients smaller conclude that large can excised through undue risk distal nerves, though this ultimately may not appropriate or difficult dissections.