EDUCATIONAL OBJECTIVES: At the conclusion of this presentation, the participants should be able to discuss how imaging and intra-operative facial nerve monitoring may be used in the removal of selected intraparotid foreign body without parotidectomy and dissection of the facial nerve. OBJECTIVES: 1) To present a rare case of a metallic intraparotid foreign body introduced as a projectile; 2) to discuss how CT images were used to guide the surgical exploration; and 3) To discuss the surgical approach used to retrieve an intraparotid foreign body without facial nerve dissection. STUDY DESIGN: This is a clinical case report with a review of literature. METHODS: We present the pertinent history and physical examination findings. We discuss the CT images. The technique of surgical exploration and foreign body retrieval is presented. RESULTS: This is the case of a man who presented to the emergency department with a metallic foreign body lodged in the parotid introduced accidentally as a projectile. CT images were analyzed and the patient underwent successful removal of the intraparotid foreign body with out parotidectomy and facial nerve dissection via a posterior approach and using facial nerve monitoring. CONCLUSION: Selected intraparotid foreign bodies may be removed without parotidectomy and facial nerve dissection if imaging shows it can be approached safely and intra-operative facial nerve monitoring is used.
EDUCATIONAL OBJECTIVES: At the conclusion of this presentation, the participants should be able to discuss how imaging and intra-operative facial nerve monitoring may be used in the removal of selected intraparotid foreign body without parotidectomy and dissection of the facial nerve. OBJECTIVES: 1) To present a rare case of a metallic intraparotid foreign body introduced as a projectile; 2) to discuss how CT images were used to guide the surgical exploration; and 3) To discuss the surgical approach used to retrieve an intraparotid foreign body without facial nerve dissection. STUDY DESIGN: This is a clinical case report with a review of literature. METHODS: We present the pertinent history and physical examination findings. We discuss the CT images. The technique of surgical exploration and foreign body retrieval is presented. RESULTS: This is the case of a man who presented to the emergency department with a metallic foreign body lodged in the parotid introduced accidentally as a projectile. CT images were analyzed and the patient underwent successful removal of the intraparotid foreign body with out parotidectomy and facial nerve dissection via a posterior approach and using facial nerve monitoring. CONCLUSION: Selected intraparotid foreign bodies may be removed without parotidectomy and facial nerve dissection if imaging shows it can be approached safely and intra-operative facial nerve monitoring is used.