Masses around the earlobe, including anterior, inferior, and posterior earlobes, are not uncommon and are easily overlooked due to the lack of obvious symptoms, and are also more likely to be misdiagnosed by non-salivary surgeons. The author has treated some cases that were not diagnosed and treated correctly in a timely manner, some due to the patient’s own neglect and some due to misdiagnosis by the receiving physician. It is worth thinking about. Case 1, female, 17 years old, Chenghai people, found a lump in front of the left earlobe for 3 months, slowly growing, complained of peanut rice size, no discomfort, no mouth and face distortion, salivation, dry eyes and other discomfort, to the local hospital, one of the hospital’s most “excellent” general surgeon told her. “Easy, just remove it in an outpatient surgery”. After the surgery, the patient found that she could not close her eyes on the left side, her frontal lines disappeared, her nasolabial folds became shallow, and the corners of her mouth were skewed. Pathology suggested: mucinous epidermis-like carcinoma of the parotid gland. The patient was sent to a higher level hospital for further treatment, and CT examination suggested that the tumor might remain. After preoperative preparation, he was sent to the operating room for exploratory surgery of the left parotid gland under general anesthesia. After dissection of the common facial nerve trunk, it was found that the trunk of the common facial nerve had been cut off at the posterior pole of the parotid gland, and the tumor still remained. This was in 1997, although the patient was cured, but the fact that a young girl was left with a crooked face was too cruel! Case 2, female, 58 years old, Puning people moved to Guangzhou, found a lump under the earlobe for 3 months, increasing rapidly, accompanied by local pain, skin flushing, local light pressure pain, to the primary hospital outpatient department of stomatology, proposed as “parotitis” to give anti-inflammatory treatment, 2 weeks did not heal, no further treatment, 2 months later the pain increased, accompanied by mouth and face distortion, to the primary hospital outpatient department of stomatology. MRI examination revealed a substantial mass of parotid origin protruding into the parapharyngeal space with destruction of mastoid bone, which was considered to be a malignant tumor of parotid gland. The tumor was found to be infiltrated by the common facial nerve trunk, temporal and cervical facial trunks, and the tumor was infiltrated along the common facial nerve trunk to the foramen magnum. The tumor was extensively resected and treated with radiation therapy. No recurrence has been seen for 5 years. This is only a few examples, but there are far more clinical cases like the above that failed to receive timely and correct treatment and resulted in adverse consequences. In fact, the mass around the earlobe is easily overlooked, mainly because of the lack of awareness among the general public, while non-specialist physicians are more likely to treat it as an enlarged lymph node, and because it tends to develop slowly and without any symptoms, it is easily mistaken for chronic lymphadenitis and given only anti-inflammatory treatment. Inflammatory enlargement of the lymph nodes behind the ear is not common in clinical practice and should not be easily concluded without further examination. They should be seen in oral and maxillofacial surgery or head and neck surgery, and should never be surgically removed on an outpatient basis without careful examination. Generally speaking, most of the masses around the earlobe are related to the parotid gland. Since the facial nerve penetrates between the deep and superficial lobes of the parotid gland, the facial nerve should be dissected when the parotid tumor is removed, otherwise the nerve will be easily damaged and facial palsy symptoms will occur, so any tumor considered to be of parotid origin, regardless of its depth or size, should be operated in hospital, rather than simply removed hastily as an outpatient, otherwise the facial nerve will be easily damaged. Of course, for malignant tumors of parotid gland, when the tumor involves the facial nerve, it has to be removed together with the nerve, and facial nerve paralysis will also appear after surgery, but this kind of facial nerve removal and facial nerve damage are completely different in nature. In fact, in addition to clinical examination, ultrasound examination of the parotid gland can often accurately distinguish whether the mass around the earlobe is from the parotid gland or not. If it is not certain, enhanced CT scan or MRI examination of the parotid gland can further determine the relationship between the mass and the parotid gland. The key is for the patient not to ignore it and for the clinician to have a full understanding of the mass around the earlobe.