case_images: PMC10499286_01
case_images: The total body computed tomography with contrast highlighted two hyperdense lumps in the left parotid. (a) One in the pre-auricular region, which was the target (long arrow) of partial parotidectomy electromyographically guided under local anaesthesia without regional block (b) another in the deep lobe (short arrow)
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case_images: PMC10499286_01_AMS-13-127-g001.jpg
case_images: ams_89_22-f001
case_images: The total body computed tomography with contrast revealed a 2.8 cm x 2 cm hyperdense lesion inside the pre-auricular portion of the left parotid gland [Figure 1a]; another intraparotid mass of 1.7 cm x 1 cm was localised deeper and more caudal in the gland, ascribable to a lymph node [Figure 1b].
case_images: Pre-operative picture showing surgical field antisepsis and needle insertion for intrasurgical electromyographical nerve monitoring with the NIM Vital
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case_images: The surgical field antisepsis was realised before and after the NIM Vital  needles insertion [Figure 2]: we proceeded to proper insertion of the needles into the appropriate muscle locations.
case_images: (a and b) Postoperatively no complications neither transient nor permanent facial palsy were observed
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case_images: No haematoma, no sialocoele, neither earlobe numbness or transient/permanent facial palsy were observed or referred [Figure 3a and b].
case_images: (a and b) The aesthetic outcome was optimal with an almost invisible scar hidden by the patient's own skin excess (blue arrow)
case_images: AMS-13-127-g004.jpg
case_images: PMC10499286_01_AMS-13-127-g004.jpg
case_images: ams_89_22-f004
case_images: The aesthetic outcome was optimal with an almost invisible scar hidden by the patient's own skin excess [Figure 4a and b].