Zbären, Peter; Vander Poorten, Vincent; Witt, Robert L; Woolgar, Julia A; Shaha, Ashok R; Triantafyllou, Asterios; Takes, Robert P; Rinaldo, Alessandra; Ferlito, Alfio (2013). Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery? American journal of surgery, 205(1), pp. 109-118. Elsevier Science 10.1016/j.amjsurg.2012.05.026
Full text not available from this repository. (Request a copy)BACKGROUND
Optimal surgery for pleomorphic adenoma of the parotid is controversial. In the present review, we discuss the advantages and disadvantages of the various approaches after addressing the surgical pathology of the parotid pleomorphic adenoma capsule and its influence on surgery.
DATA SOURCES
PubMed literature searches were performed to identify original studies.
CONCLUSIONS
Almost all pleomorphic adenomas can be effectively treated by formal parotidectomy, but the procedure is not mandatory. Extracapsular dissection is a minimal margin surgery; therefore, in the hands of a novice or occasional parotid surgeon, it may result in higher rates of recurrence. Partial superficial parotidectomy may be a good compromise. The tumor is removed with a greater cuff of healthy parotid tissue than in extracapsular dissection. This may minimize the recurrence rate. On the other hand, the removal of healthy parotid tissue compared with formal parotidectomy is limited, thus minimizing complications such as facial nerve dysfunction and Frey syndrome.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT) |
UniBE Contributor: |
Zbären, Peter |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0002-9610 |
Publisher: |
Elsevier Science |
Language: |
English |
Submitter: |
Lilian Tschan |
Date Deposited: |
07 Mar 2014 10:28 |
Last Modified: |
05 Dec 2022 14:29 |
Publisher DOI: |
10.1016/j.amjsurg.2012.05.026 |
PubMed ID: |
23062782 |
Uncontrolled Keywords: |
Parotid gland; Adenoma pleomorphic; Parotidectomy; Superficial parotidectomy; Limited surgery |
URI: |
https://boris.unibe.ch/id/eprint/43457 |
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