Intermittent facial spasms as the presenting sign of a recurrent pleomorphic adenoma

Figure 1 Axial computed tomography of the neck with contrast demonstrates oval shaped enhancing lesion of the left parotid gland deep to the left ramus of the mandible, centered at the left stylomandibular tunnel. A: The lesion measured 9 mm × 7 mm × 8 mm in 2007; B: The lesion measured 3.1 cm × 2.8 cm × 4.5 cm in 2015.