This man had a parotid growth for 8 years. It will certainly be a mucoepidermoid carcinoma. We resected the tumor yesterday. Today he is up and around like nothing happened! We will do flap coverage in the future.

Giant parotid tumor with necrosis-facial nerve not functioning
One day following radical resection

Three days following resection
Pectoralis major myocutaneous flap coverage of the wound-due to the
 large skin flap and tension, a small area of the chest could not be covered.

Addendum June, 2013

Here is our patient approximately 4 months after surgery. His flap and chest have healed well.  Pathology showed an epithelial myoepithelial carcinoma. He is going for radiation therapy.