Lipomatosis of the parotid gland is a very rare tumour and its discovery in
a child is exceptional. These tumours are not generally considered in the
preoperative differential diagnosis of parotid region neoplasms because of
their rarity. The treatment of choice is surgical excision, with a superfic
ial or total parotidectomy, preserving the facial nerve. Long-term follow-u
p is advised due to possible microscopic infiltration. A case of lipomatosi
s of the parotid gland in a 4-month-old child is reported. (C) 2000 The Bri
tish Association of Plastic Surgeons.