PT - JOURNAL ARTICLE AU - Al-Arfaj, Abdullatif A. AU - Arora, Roopa K. AU - El Hassan, Abdullah Y. AU - Al-Metwalli, Roshdi R. TI - Lipomatosis of the parotid gland in children DP - 2003 Aug 01 TA - Saudi Medical Journal PG - 898--900 VI - 24 IP - 8 4099 - http://smj.org.sa/content/24/8/898.short 4100 - http://smj.org.sa/content/24/8/898.full SO - Saudi Med J2003 Aug 01; 24 AB - Parotid lipomatosis is extremely rare in children. Only 4 cases have previously been reported in the English language medical literature. Surgical excision is frequently complicated by recurrence. We report, a fifth case, on a 5-month-old girl with rapidly progressive parotid lipomatosis. Emphasis is laid on the importance of preserving the unusually delicate tumor capsule to prevent tissue spillage and recurrence. The creation of an appropriate cleavage between the mass and the expanded skin with sparse subcutaneous fat, safeguarding the tumor capsule on one side and the skin blood supply on the other, represents a rewarding technical challenge.