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Title: Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery
Authors: Zbären, Peter ×
Vander Poorten, Vincent
Witt, Robert
Woolgar, Julia
Shaha, Ashok
Triantafyllou, Asterios
Ferlito, Alfio
Path, D.
Takes, Robert
Rinaldo, Alessandra #
Issue Date: 2013
Publisher: Paul B. Hoeber
Series Title: The American Journal of Surgery vol:205 issue:1 pages:109-118
Abstract: 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.
ISSN: 0002-9610
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Head and Neck Oncology (+)
× corresponding author
# (joint) last author

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