BACKGROUND When a firm facial mass in the cheek region is associated with a high index of clinical suspicion of its being of parotid gland origin,preventive parotidectomy is invariably performed.We report a rare case of a schwannoma that was suspected to be of parotid gland origin in a patient,who underwent successful surgical management using a modified-Blair incision and superficial musculoaponeurotic system(SMAS)layer folding method.CASE SUMMARY A 27-year-old woman presented to the hospital for evaluation of a firm,fixed,non-tender mass(2.5 cm×3.5 cm),located anterior to the right ear,of 1 year’s duration.Contrast-enhanced facial computed tomography revealed a wellencapsulated,low-density mass adherent to the superficial lobe of the right parotid gland,with a high index of clinical suspicion of an accessory parotid gland mass.The patient was scheduled to undergo resection of the mass and superficial parotidectomy.She underwent surgery using a modified-Blair incision,and the SMAS layer was folded posteriorly to reconstruct the defect.Histopathological examination confirmed the diagnosis of a schwannoma.,and we observed no postoperative complications such as hematoma,infection,or abnormal facial expressions.The incision scar was unnoticeable 2 mo postoperatively,and the facial contour was maintained without any differences between the affected and unaffected sides.CONCLUSION We used a modified-Blair incision and SMAS layer folding method to achieve aesthetically good results following resection of a rare schwannoma with superficial parotidectomy in the cheek region.
Ha-Jong NamHwan Jun ChoiJe-Yeon ByeonSyeo-Young Wee
The present study enhances the knowledge on the diversity, abundance and depth distribution of larger benthic foraminifera (LBF) from six different islands in Mahatma Gandhi Marine National Park (MGMNP), where meagre anthropogenic impact existed. Very few works have been reported on the Larger Benthic Foraminifera (LBF) on this Island environment, as this region also falls under Marine Protected Area (MPA). Development of database on this study has a validity for pristine nature of LBF environment. Modern LBF hotspot diversity is often overlooked and no data are available to date on tropical regions. Out of 105 MPA’s existed in this Island, MGMNP encompasses about 15 islands, out of which six islands were considered for the study. These six islands are Snob Island, Grub Island, Boat Island, Hobday Island, Belle Island and Jolly Buoy Island. The study revealed presence of 22 taxa of modern LBF and the most common families are the Amphisteginidae, Calcarinidae, Nummulitidae, Peneroplidae and Soritidae. The purpose of this study was to document the distribution of LBF species prevailing in this area, as well as develop the baseline environmental information of its existences to facilitate further continuous monitoring the changes occurring in this island environment. The environment suggested that the presence of major LBF species studied are Calcarina calcarinoides, Calcarina defrancei, Calcarina hispida, Calcarina spengleri, Neorotalia calcar and Neorotalia gaimardi exhibited the availability of good coral cover with commendable macro algal coverage or sparsely sea grasses, as they prefer such substratum for their epiphytic association.