Wednesday, April 5, 2017

Updated by Piper Wenzel, BS May 2024

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Background

  • An accessory parotid gland is defined as "a collection of salivary tissue separate from the main parotid gland" but still connected by the duct (Ahn 2017)
  • A facial process is defined as "the parotid lobe protruding anteriorly along the course of the parotid duct while maintaining continuity with the main gland" (Ahn 2017)
  • Reported incidence of accessory parotid gland is 21-69% (Ahn 2017)
  • An accessory parotid gland typically lies anteriorly overlying the masseter (Ugur 2024)
  • Typical size is from a pea to kidney bean (Ahn 2017)
  • Mean distance from accessory parotid gland to main parotid gland has been reported to be 10.5 mm with range of 1-37 mm (Ahn 2017)
  • Lesions of the accessory parotid gland represent 1-8% of all parotid gland lesions (Hasegawa 2021)
  • Histologically, the accessory parotid gland has serous and mucous acini (Ugur 2024)

Radiologic Findings

  • Imaging will show tissue with densities and signals equal to those of normal salivary tissue
  • Ultrasonography may be used as the first-line imaging modality due to accessibility, non-invasive and non-ionizing nature, and low cost (Ugur 2024)
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References

Ahn D, Yeo CK, Han SY, Kim JK. The accessory parotid gland and facial process of the parotid gland on computed tomography. PLoS One. 2017;12(9):e0184633. Published 2017 Sep 15. doi:10.1371/journal.pone.0184633

Hasegawa K, Sukegawa S, Ono S, Ando M, Shibata A, Sukegawa-Takahashi Y, Fujimura A, Matsuyama T, Ibaragi S, Nagatsuka H, Mizobuchi K, Sasaki A, Furuki Y. Endoscopic-assisted resection of pleomorphic adenoma in the accessory parotid gland. J Med Invest. 2021;68(3.4):376-380. doi: 10.2152/jmi.68.376. PMID: 34759162.

Uğur TA, Tercanlı H. Evaluation of the anterior processes of the parotid gland: an ultrasonographic study. Surg Radiol Anat. 2024 May 4. doi: 10.1007/s00276-024-03369-y. Epub ahead of print. PMID: 38703221.