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Role of limited parotidectomy in management of pleomorphic adenoma

Published online by Cambridge University Press:  01 August 2007

J T Johnson ,
A Ferlito ,
J J Fagan ,
P J Bradley  and
A Rinaldo
J T Johnson
Affiliation:
Department of Otolaryngology, School of Medicine, University of Pittsburgh, Pennsylvania, USA
A Ferlito*
Affiliation:
ENT Clinic, Department of Surgical Sciences, University of Udine, Italy
J J Fagan
Affiliation:
Division of Otolaryngology, Faculty of Health Sciences, University of Cape Town, South Africa
P J Bradley
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, Queen's Medical Centre, Nottingham, UK
A Rinaldo
Affiliation:
ENT Clinic, Department of Surgical Sciences, University of Udine, Italy
*
Address for correspondence: Professor Alfio Ferlito, Director of the Department of Surgical Sciences, Professor and Chairman of the ENT Clinic, Policlinico Universitario, University of Udine, Piazzale S Maria della Misericordia, I-33100 Udine, Italy. Fax: +39 0432 559339 E-mail: a.ferlito@uniud.it
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Abstract

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.

Keywords

Parotid Gland NeoplasmsParotidectomyPleomorphic Adenoma
Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 12 , December 2007 , pp. 1126 - 1128
Copyright
Copyright © JLO (1984) Limited 2007

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