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Clinical Problem Solving
May 2014

Facial Mass in an Infant

Author Affiliations
  • 1Nemours/Alfred I. duPont Hospital for Children, Wilmington, Delaware
  • 2Thomas Jefferson University, Philadelphia, Pennsylvania
  • 3Nemours Children’s Clinic, Jacksonville, Florida
JAMA Otolaryngol Head Neck Surg. 2014;140(5):475-476. doi:10.1001/jamaoto.2014.283

A male infant presented with a 4-day history of a right-sided facial mass. The child had no preceding illnesses and was feeding and gaining weight appropriately. His medical history was significant only for a small hemangioma on the dorsal aspect of his left foot. On physical examination, the infant appeared healthy. Mild fullness was observed in the right preauricular region extending anteriorly. The affected region was firm and slightly warm on palpation but nontender and without overlying skin changes. Facial movement was intact and symmetrical. Findings from the remainder of his head and neck examination were otherwise unremarkable.

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