Pleomorphic adenoma surgery: Difference between revisions
Jump to navigation
Jump to search
| Line 29: | Line 29: | ||
Surgery is the mainstay of treatment for pleomorphic adenoma.There are two procedures: | Surgery is the mainstay of treatment for pleomorphic adenoma.There are two procedures: | ||
*Superficial parotidectomy(Patey's operation). | *Superficial parotidectomy(Patey's operation). | ||
*Total parotidectomy, being the more frequently performed procedure due to | *Total parotidectomy, being the more frequently performed procedure due to incidence of recurrence being lower. <ref name="KadletzGrasl2017">{{cite journal|last1=Kadletz|first1=Lorenz|last2=Grasl|first2=Stefan|last3=Grasl|first3=Matthäus C.|last4=Perisanidis|first4=Christos|last5=Erovic|first5=Boban M.|title=Extracapsular dissection versus superficial parotidectomy in benign parotid gland tumors: The Vienna Medical School experience|journal=Head & Neck|volume=39|issue=2|year=2017|pages=356–360|issn=10433074|doi=10.1002/hed.24598}}</ref> | ||
* | *Care should be taken in order to preserve the facial nerve. <ref name="KadletzGrasl2017">{{cite journal|last1=Kadletz|first1=Lorenz|last2=Grasl|first2=Stefan|last3=Grasl|first3=Matthäus C.|last4=Perisanidis|first4=Christos|last5=Erovic|first5=Boban M.|title=Extracapsular dissection versus superficial parotidectomy in benign parotid gland tumors: The Vienna Medical School experience|journal=Head & Neck|volume=39|issue=2|year=2017|pages=356–360|issn=10433074|doi=10.1002/hed.24598}}</ref> | ||
*The tumors of the submandibular glands are treated with | *The tumors of the submandibular glands are treated with excision while preserving the adjacent nerves including the mandibular branch of the trigeminal nerve, the hypoglossal nerve, and the lingual nerve. | ||
*When the tumor arises from the minor salivary glands, a | *When the tumor arises from the minor salivary glands, usually a 5 mm margin is to be obtained. | ||
*Recurrence is also noticed after surgery. | *Recurrence is also sometimes noticed after surgery. | ||
*The main causes for recurrence are:<ref name="pmid27386926">{{cite journal |vauthors=Kiciński K, Mikaszewski B, Stankiewicz C |title=Risk factors for recurrence of pleomorphic adenoma |journal=Otolaryngol Pol |volume=70 |issue=3 |pages=1–7 |date=February 2016 |pmid=27386926 |doi=10.5604/00306657.1193691 |url=}}</ref> | *The main causes for recurrence are:<ref name="pmid27386926">{{cite journal |vauthors=Kiciński K, Mikaszewski B, Stankiewicz C |title=Risk factors for recurrence of pleomorphic adenoma |journal=Otolaryngol Pol |volume=70 |issue=3 |pages=1–7 |date=February 2016 |pmid=27386926 |doi=10.5604/00306657.1193691 |url=}}</ref> | ||
** Incomplete excision | **Incomplete excision | ||
**Intraoperative capsule rupture | **Intraoperative capsule rupture | ||
**Myxoid subtype | **Myxoid subtype | ||
**Presence of the satellite nodules and tumor extensions | **Presence of the satellite nodules and tumor extensions | ||
==Contraindications== | ==Contraindications== | ||
Revision as of 15:57, 21 January 2019
|
Pleomorphic adenoma Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Pleomorphic adenoma surgery On the Web |
|
American Roentgen Ray Society Images of Pleomorphic adenoma surgery |
|
Risk calculators and risk factors for Pleomorphic adenoma surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Surgical intervention is not recommended for the management of [disease name].
OR
Surgery is not the first-line treatment option for patients with [disease name]. Surgery is usually reserved for patients with either [indication 1], [indication 2], and [indication 3]
OR
The mainstay of treatment for [disease name] is medical therapy. Surgery is usually reserved for patients with either [indication 1], [indication 2], and/or [indication 3].
OR
The feasibility of surgery depends on the stage of [malignancy] at diagnosis.
OR
Surgery is the mainstay of treatment for [disease or malignancy].
Indications
- Surgical intervention is recommended for the management of pleomorphic adenoma.
Surgery
Surgery is the mainstay of treatment for pleomorphic adenoma.There are two procedures:
- Superficial parotidectomy(Patey's operation).
- Total parotidectomy, being the more frequently performed procedure due to incidence of recurrence being lower. [1]
- Care should be taken in order to preserve the facial nerve. [1]
- The tumors of the submandibular glands are treated with excision while preserving the adjacent nerves including the mandibular branch of the trigeminal nerve, the hypoglossal nerve, and the lingual nerve.
- When the tumor arises from the minor salivary glands, usually a 5 mm margin is to be obtained.
- Recurrence is also sometimes noticed after surgery.
- The main causes for recurrence are:[2]
- Incomplete excision
- Intraoperative capsule rupture
- Myxoid subtype
- Presence of the satellite nodules and tumor extensions
Contraindications
References
- ↑ 1.0 1.1 Kadletz, Lorenz; Grasl, Stefan; Grasl, Matthäus C.; Perisanidis, Christos; Erovic, Boban M. (2017). "Extracapsular dissection versus superficial parotidectomy in benign parotid gland tumors: The Vienna Medical School experience". Head & Neck. 39 (2): 356–360. doi:10.1002/hed.24598. ISSN 1043-3074.
- ↑ Kiciński K, Mikaszewski B, Stankiewicz C (February 2016). "Risk factors for recurrence of pleomorphic adenoma". Otolaryngol Pol. 70 (3): 1–7. doi:10.5604/00306657.1193691. PMID 27386926.