Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery?

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

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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:

07 Mar 2014 10:28

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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