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<p>Foreign bodies within the parotid region are rare due to the gland’s deep location and surrounding protected anatomy. Most occur after penetrating trauma and present early due to acute symptoms. Delayed presentations are uncommon, and may mimic benign salivary gland pathology. We report an unusual case of a 49-year-old woman with a painless parotid swelling, later identified as a glass bangle fragment retained within the parotid gland over five years following an unrecognised minor penetrating injury sustained during sleep. Remarkably, the patient remained asymptomatic for five years. CT scan detected and localised the foreign body, which was successfully removed under local anaesthesia without parotidectomy. This case highlights the importance of considering retained foreign bodies in atypical parotid swellings and emphasises the role of meticulous history-taking and CT in evaluating radiolucent foreign bodies. Selected superficial intraparotid foreign bodies can be safely removed under local anaesthesia when preoperative imaging confirms safe accessibility.</p>

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Silent Migration of a Glass Bangle Fragment Mimicking a Parotid Mass Five Years After Injury: A Case Report and Literature Review

  • 期刊论文

  • 发表日期：

    2026年7月20日

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  • Tushar M. Parmeshwar,
  • A. Nyna Sindhu,
  • Reshmi Sultana,
  • Harikrishna Balachandran,
  • A. M. Adarsha,
  • M. Devendran

摘要

Foreign bodies within the parotid region are rare due to the gland’s deep location and surrounding protected anatomy. Most occur after penetrating trauma and present early due to acute symptoms. Delayed presentations are uncommon, and may mimic benign salivary gland pathology. We report an unusual case of a 49-year-old woman with a painless parotid swelling, later identified as a glass bangle fragment retained within the parotid gland over five years following an unrecognised minor penetrating injury sustained during sleep. Remarkably, the patient remained asymptomatic for five years. CT scan detected and localised the foreign body, which was successfully removed under local anaesthesia without parotidectomy. This case highlights the importance of considering retained foreign bodies in atypical parotid swellings and emphasises the role of meticulous history-taking and CT in evaluating radiolucent foreign bodies. Selected superficial intraparotid foreign bodies can be safely removed under local anaesthesia when preoperative imaging confirms safe accessibility.