Lipomas are common benign soft tissue neoplasms but they are found rarely in the parotid gland .
Surgical intervention in these tumors is challenging because of the proximity of the facial nerve, and thus meticulous surgical techniques are essential. The patient was a 12-year-old female presented with a large asymptomatic mass which had occupied the right facial area. She requested surgical excision for cosmetic reasons. The CT scan defined giant lipoma arising from the right parotid gland. The lipoma was successfully removed after dissecting and preserving of the facial nerve branches. The patient experienced an uneventful recovery, with and intact facial nerve function .
Lipomas of parotid gland are extremely rare. The high- resolution CT scan provides a prefer method of preoperative diagnosis. Surgical management should be performed by experienced surgeon. Superficial parotidectomy is unnecessary in selected cases of deep lobe lipomas because preservation of superficial lobe may contribute to better cosmetic results .