Role of limited parotidectomy in management of pleomorphic adenoma
Tóm tắt
There is continued controversy over the extent of parotidectomy required for removal of a benign pleomorphic adenoma from the parotid gland. Currently, consensus exists that the integrity of the facial nerve must be preserved when the tumour is totally removed.
As a result of experience gained in the first half of the twentieth century, it was recommended that superficial parotidectomy with facial nerve dissection should be the minimal biopsy for pleomorphic adenoma. Since that time, however, research has indicated that partial parotidectomy or extracapsular dissection of benign pleomorphic adenoma can be accomplished with preservation of the facial nerve without an increase in tumour recurrence. Partial parotidectomy or extracapsular dissection results in impaired cosmetic results and a lower incidence of Frey's syndrome, and thus may be the preferred approach when undertaken by experienced surgeons.
Từ khóa
Tài liệu tham khảo
McFarland, 1936, Three hundred mixed tumors of the salivary glands, of which sixty-nine recurred, Surg Gynecol Obstet, 63, 457
McFarland, 1943, Mysterious mixed tumors of salivary glands, Surg Gynecol Obstet, 76, 23
Hancock, 1999, Clinically benign parotid tumours: local dissection as an alternative to superficial parotidectomy in selected cases, Ann R Coll Surg Engl, 81, 299
Kornevs, 2005, Treatment of parotid gland tumors in Latvian Oncological Center, Stomatologija, 7, 110
Benedict, 1930, Tumors of the parotid gland: A study of two hundred and twenty-five cases with complete end-results in eighty cases, Surg Gynecol Obstet, 51, 626
Iizuka, 1998, Surgical techniques for benign parotid tumors: segmental resection vs extracapsular lumpectomy, Acta Otolaryngol Suppl, 537, 75
Wen, 2003, The pathologic basis of partial parotidectomy in parotid pleomorphic adenoma treatment [in Chinese], Hua Xi Kou Qiang Yi Xue Za Zhi, 21, 359