Acta Scientific Otolaryngology (ASOL)

Case Report Volume 2 Issue 5

“Turkey Wattle Sign” a Very Uncommon Sign for a Parotid Hemangioma – A Case Report

Priyajeet Panigrahi*

ENT and Head and Neck Surgery Consultant, Tata Steel Medica Hospital, India

*Corresponding Author: Priyajeet Panigrahi, ENT and Head and Neck Surgery Consultant, Tata Steel Medica Hospital, India.

Received: January 24, 2020; Published: April 30, 2020



  We have reported a case of a vascular malformation within the parotid gland of an 55 YEARS elderly woman. There was no associated pain or any other related symptoms. Patient was having swollen cervical region below right parotid gland while bending head down and disappear while turning head up (turkey wattle sign). Although the hemangioma of the parotid is not uncommon in young children, it is rare in the adult. Several clues to the diagnosis have been reviewed, all absent in the case reported. The potential confusion with primary salivary pathology is emphasized by this report.

   Hemangiomas of the parotid region are relatively uncommon, although they account for the majority of parotid gland tumors in infants. They are very uncommon in adults. In the presence of changes of the overlying skin (red, reddish-blue or blue), an appreciable thrill, bruit or pulsation, or multiple radio-opacities representing phleboliths on plain radiographs, the diagnosis can be suspected and arteriography carried out to delineate the anatomy of the vascular malformation. However, in the absence of such signs, the diagnosis may not be obvious, particularly in the adult patient. This report presents a case of a cavernous hemangioma of the parotid gland of an elderly adult whose diagnosis was doubtful after ultrasound but was confirmed only after looking intraoperative findings and biopsy report.

Keywords: Hemangioma; Vascular Malformation; Arteriography



  1. BERNIER JL and TMCKE RW. “Hemangioma of parotid gland”. The Journal of Oral Surgery 8 (1950): 171-172.
  2. BINGHAM HG. “Predicting the course of a congenital hemangioma”. Plastic and Reconstructive Surgery 63 (1979): 161-166.
  3. BYARS LT., et al. “Tumors of salivary origin in children. A clinical pathological appraisal of 24 cases”. Annuals of Surgery 146 (1957): 40-51.
  4. COWAN WK and MUKHERIEE DS. “Haemangioma of the parotid gland”. The Journal of Oral Surgery 28 (1970): 129-131.
  5. DANIELSON EP., et al. “Arteriovenous malformations of the anterior mandibular gingiva. Use of the Doppler ultrasonic flowmeter for delineation of the lesions at surgery”. Oral Surgery 33 (1972): 179-184.
  6. DEMPSEY EF and MURLEY RS. “Vascular malformations simulating salivary disease”. British Journal of Plastic Surgery 23 (1970): 77-84.
  7. FABER RG., et al. “Vascular malformations of the parotid region”. British Journal of Surgery 65 (1978): 171-175.
  8. GASCOYEN M. “Case of naevus involving the parotid gland and causing death from suffocation. Naevi of the viscera”. 11 (1860): 267.
  9. GOLDMAN RC and PERZIIC SL. “Hemangioma of the parotid in children”. Archives of Otolaryngology 90 (1969): 605-608.
  10. GRACE TB., et al. “Benign tumors of the major salivary glands”. Surgery 50 (1961): 625-633.
  11. MAY M., et al. “Facial palsy: Bell's versus parotid vascular malformation: case report”. Laryngoscope 83 (1973): 2020-2023.
  12. MCFARLAND JH. “Congenital capillary angioma of the parotid: consideration of similar cases in the literature”. Archives of Pathology 9 (1930): 820-827.
  13. NUSSBAUM M., et al. “Hemangiomas of the salivary glands”. Laryngoscope 86 (1976): 1015-1019.
  14. RICCARDI VM. “Von Recklinghausen neuro fibromatosis”. The New England Journal of Medicine 305 (1981): 1617-1626.
  15. RICHARDSON GS., et al. “Cystic lesions of the parotid gland”. Plastic and Reconstructive Surgery 61 (1978): 364-370.
  16. SATO M., et al. “Giant cavernous hemangioma of the masseter muscle: report of case”. Journal of Oral and Maxillofacial Surgery 37 (1979): 464-491.
  17. SCARCELLA JV., et al. “Hemangiomas of the parotid gland”. Plastic and Reconstructive Surgery 36 (1965): 38-47.
  18. Scar JES. “Hemangiomata in skeletal muscle”. British Journal of Surgery 44 (1957): 496-501.
  19. SKOLNICK EM., et al. “Tumors of the major salivary glands”. Laryngoscope 87 (1977): 843-861.
  20. Tow F., et al. “Trismus resulting from a parotid hemangioma”. Journal of Oral and Maxillofacial Surgery 41 (1983): 468-469.
  21. TRESSERA L., et al. “Hemangiomas of the parotid gland in children”. Journal of Maxillofacial Surgery 5 (1977): 238-241.
  22. VINDENES H., et al. “Incomplete branchial arch syndromes, branchial cleft cyst and vascular hamartoma in a patient with multiple neurofibromatosis”. International Journal of Oral Surgery 8 (1979): 375-380.
  23. WAns AE and K_Atz A. “Intraparotid hemangioma in an adult: case report and review of the literature”. Clinical Otolaryngology 5 (1980): 255-258.
  24. WILLIAMS HB. “Hemangiomas of the parotid gland in children”. Plastic and Reconstructive Surgery 56 (1975): 29-34.


Citation: Priyajeet Panigrahi. ““Turkey Wattle Sign” a Very Uncommon Sign for a Parotid Hemangioma – A Case Report". Acta Scientific Otolaryngology 2.5 (2020): 12-14.


Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US