Role of limited parotidectomy in management of pleomorphic adenoma

Journal of Laryngology and Otology - Tập 121 Số 12 - Trang 1126-1128 - 2007
Jonas T. Johnson1, Alfio Ferlito2, Johan Fagan3, Patrick J. Bradley4, Alessandra Rinaldo2
1Department of Otolaryngology, School of Medicine, University of Pittsburgh, Pennsylvania, USA.
2*ENT Clinic, Department of Surgical Sciences, University of Udine, Italy
3‡Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town, South Africa
4*Department of Otorhinolaryngology – Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK.

Tóm tắt

AbstractThere 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.

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Thông tin
Thông tin xuất bản

Journal of Laryngology and Otology

Tập 121 Số 12

1126-1128

Thông tin tác giả