Lymphangiomas are uncommon benign congenital tumours. Most occur in th
e head and neck region and the vast majority present before the age of
two. This paper describes the presentation and management of four cas
es presenting after puberty and involving the parotid gland. The cases
are unusual in that all were intimately associated with the facial ne
rve and in an older population. The value of selective neck dissection
and facial nerve exposure as an approach to these lesions is discusse
d.