Neoplasms of the facial nerve presenting as a parotid mass are uncommo
n. In the absence of a facial palsy their origin from the nerve is usu
ally diagnosed intraoperatively. The majority of these neurogenic neop
lasms are schwannomas, with neurofibromas occurring rarely. Although t
he Schwann cell is the key element in both, they have distinct histopa
thological characteristics, and their clinical course and management o
ften differs. The first reported case of an intraparotid facial nerve
schwannoma in a child in the English literature is presented.