کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279467 1611523 2013 10 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery?
چکیده انگلیسی

BackgroundOptimal 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 SourcesPubMed literature searches were performed to identify original studies.ConclusionsAlmost 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.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 205, Issue 1, January 2013, Pages 109–118
نویسندگان
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