PMC5741563_01
Preoperative presentation: (a) frontal view and (b) lateral view. (c) Magnetic resonance image demonstrating tumor within the left parotid gland.
eplasty17e38_fig1.jpg
PMC5741563_01_eplasty17e38_fig1.jpg
F1
She had intact facial nerve function, a preauricular scar from her prior resection, and a palpable subcutaneous nodule anterior to the scar (Figs 1a and 1b). MRI demonstrated multiple nodules within the substance of the parotid (Fig 1c), and an ultrasound-guided fine needle aspirate confirmed the diagnosis of recurrent acinic cell carcinoma.
Intraoperative view demonstrating the superficial inferior epigastric artery flap, which has been de-epithelialized in situ prior to transfer.
eplasty17e38_fig2.jpg
PMC5741563_01_eplasty17e38_fig2.jpg
F2
The resection specimen was used to guide the dimensions of the flap, which was de-epithelialized in situ (Fig 2).