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The right parotid gland tumor in scans obtained in our hospital b is smaller than that in scans obtained in our affiliated hospital a. However, we also made preparations to preserve the facial nerve should a benign tumor be suggested during the surgery. Retrospectively, it is difficult to diagnose oncocytoma based on the findings of FNAC due to only a small number of eosinophilic cells.

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The buccal and marginal mandibular branches of facial nerve were pinched by the tumor Figure 3. A case of spontaneous intratumoral hemorrhage in parotid oncocytoma was also reported [ 18 ]. In addition, the facial nerve palsy showed some improvement to HB grade II.

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It was found to consist of solid and cystic components. T1-weighted SE MR imaging of the mass showed lower intensity than that of the native parotid tissue Figure 2 a.

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The temporal and zygomatic branches were present on the tumor capsule. Only 2 cases of oncocytoma with facial nerve paralysis have been reported to date [ 16 , 17 ], with one patient showing painful swelling in the parotid area similarly to that observed in our case [ 16 ]. A year-old male presented with pain in his right parotid gland.

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The parotid gland is the most common site of oncocytic changes [ 10 ], but they have also been noted in the submaxillary gland, sublingual gland, larynx, soft palate, hard palate, and nasal cavities. The nerve branches were in contact with the tumor, but not involved.