A Clinical Observation to Diagnose Parotid Hemangioma

  • 63 Accesses


A clinical observation to diagnose parotid hemangioma is presented in this article. A hemangioma can be made to distend by blocking its venous outflow. If a distended hemangioma is located within the parotid gland, it stretches the parotid capsule. Thus application of pressure over parotid venous outflow causes the hemangioma to bulge, thereby stretching the parotid capsule. It makes the outline of the gland clinically apparent. This observation is useful to differentiate a hemangioma present in the parotid gland from one that is placed outside the gland like an intramuscular hemangioma of the masseter muscle or internal jugular phlebectasia.

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

Subscribe to journal

Immediate online access to all issues from 2019. Subscription will auto renew annually.

US$ 99

This is the net price. Taxes to be calculated in checkout.

Fig. 1
Fig. 2
Fig. 3
Fig. 4


  1. 1.

    O’Riordan B (1974) Phleboliths and salivary calculi. British J Oral Surg 12(2):119–131

  2. 2.

    Gray H (1918) In: Lewis WH (ed) Anatomy of the human body, 20th edn. Lea & Febiger, Philadelphia, p 167, (cited May 20, 2012). Available from:

  3. 3.

    Cunningham DJ (1919) In: Arthur R (ed) Manual of anatomy, 7th edn. Henry Frowde & Stoughton, London, Fig. 15 (cited June 20, 2012). Available from:

  4. 4.

    Ray H (1867) Veins of the head and neck. In: Gray H (ed) Anatomy, descriptive and surgical, 13th edn. Lea brothers & Co, Philadelphia and New York, p 459

  5. 5.

    Jones Q (1837) Elements of anatomy: temporal vein, 4th edn. Taylor and Watson, London, p 609

  6. 6.

    Childers ELB, Furlong MA, Fanburg JC (2002) Hemangioma of the salivary gland: a study of ten cases of a rarely biopsied/excised lesion. Ann Diag Path 1(6):339–344. doi:10.1053/adpa.2002.36662

  7. 7.

    Dempsey EF, Murley RS (1970) Vascular malformations simulating salivary disease. Br J Plast Surg 23:77–84. doi:S0007-70)80015-ISSN/S0007-1226(70)80015-7/ISSN0007-1226

  8. 8.

    Stevenson EW (1966) Hemangiomas of the salivary gland: review of the literature and report of a rare lesion in the submaxillary area. South Med J 59(10):1187–1190

  9. 9.

    Saeed WR, Kolhe PS, Smith FW, Murray GI (1997) The 'turkey wattle' sign revisited: diagnosing parotid vascular malformations in the adult. Br J Plast Surg 50(1):43–46

  10. 10.

    Gray H (1918) In: Lewis WH (ed) Anatomy of the human body, 20th edn. Lea & Febiger, Philadelphia, Fig. 557 (cited May 20, 2012). Available from:

  11. 11.

    Narayanan CD, Preeth P, Dhanasekaran CK (2009) Intramuscular hemangioma of the masseter muscle: a case report. Cases J 2:7459. doi:10.1186/1757-1626-2-7459

  12. 12.

    Thulasiraman V, Ramesh PTR, Cheralathan S (2010) Internal jugular phlebectasia as an incidental finding in cervical spine surgery. Indian J Ortho 44(4):471–3, Available from:

  13. 13.

    Jamal TH, Saeed MK (1994) A cavernous hemangioma of the parotid gland. Annals Saudi Med 14(3):250–4

Download references

Grant support


Conflicts of interest


Author information

Correspondence to Bhavani Rao Reddi.

Electronic supplementary material

Below is the link to the electronic supplementary material.

(WMV 5537 kb)


(WMV 5537 kb)

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Reddi, B.R. A Clinical Observation to Diagnose Parotid Hemangioma. Indian J Surg 75, 401–403 (2013).

Download citation


  • Parotid hemangioma
  • Parotid venous outflow
  • Intramuscular hemangioma of the masseter
  • Internal jugular phlebectasia