Conservative Deep Lobe Parotidectomy with Preservation of Superficial Lobe on Pleomorphic Adenoma in Deep Lobe of Parotid: a Case Report

이하선 심층엽에 발생한 다형선종의 보존적 심층엽 이하선 절제술: 증례보고

  • Ahn, Sang-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Song, Jin-Woo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Jung, Eu-Gene (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Lee, Ju-Min (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Song, Won-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Shin, Sang-Hun (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University) ;
  • Chung, In-Kyo (Department of Oral and Maxillofacial Surgery, School of Dentistry, Pusan National University)
  • 안상욱 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 송진우 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정유진 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이주민 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 송원욱 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 신상훈 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 정인교 (부산대학교 치의학전문대학원 구강악안면외과학교실)
  • Received : 2010.09.20
  • Accepted : 2010.11.01
  • Published : 2010.11.30

Abstract

Parotid deep lobe tumors usually has been treated by total parotidectomy. But there is functional and aesthetic side effects such as post parotidectomy depressions, variable aesthetic deformities, facial nerve injury and Frey's syndrome. Conservative limited deep parotidectomy may result in fewer side effect. Preservation of the superficial lobe for deep lobe tumors could decrease the incidence of complications without any problems in the treatment effect. Additionally, the parotid function preservation and cosmetic appearance after operation also satisfy both the patients and surgeons. We report a case of pleomorphic adenoma of the deep lobe which has been successfully treated by conservative deep parotidectomy.

Keywords

References

  1. Yamashita T, Tomoda K, Kumazawa T : The usefulness of partial parotidectomy for benign parotid gland tumors. A retrospective study of 306cases. Acta Otolaryngol Suppl 500 : 113, 1993.
  2. Zhao K, Qi DY, Wang LM : Functional superficial parotidectomy. J Oral Maxillofac Surg 52 : 1038, 1994. https://doi.org/10.1016/0278-2391(94)90171-6
  3. Gleave EN : Colour atlas and text of salivary glands - Diseases, disorders and surgery. London: Mosby-Wolf; 1995. p.165.
  4. McGurk M, Thomas BL, Renehan AG : Extracapsular dissection for clinically benign parotid lumps: Reduced morbidity without oncological compromise. Br J Cancer 89 : 1610, 2003. https://doi.org/10.1038/sj.bjc.6601281
  5. Leverstein H, van der Wal JE, Tiwari RM, et al : Surgical management of 246 previously untreated pleomorphic adenomas of the parotid gland. Br J Surg 84 : 399, 1997. https://doi.org/10.1002/bjs.1800840341
  6. Roh JL, Park CI : Funtion-preserving parotid surgery for benign tumors involving the deep parotid lobe. J Surgical oncology 98 : 42, 2008. https://doi.org/10.1002/jso.21082
  7. Hussain A, Murray DP: Preservation of the superficial lobe for deep-lobe parotid tumors: A better aesthetic outcome. Ear Nose Throat J 84 : 518, 2005.
  8. Chung SW, Cha IH, Kim HJ et al : Selective deep lobe parotidectomy for preservation of parotid function: A case report. J Kor Oral Maxillofac Surg 35 : 384, 2009.
  9. Colella G, Giudice A, Rambaldi P et al : Parotid function after selective deep lobe parotidectomy. Br J Oral Maxillofac Surg 45 : 108, 2007. https://doi.org/10.1016/j.bjoms.2006.04.006
  10. Spiro RH : Salivary gland neoplasm: overview of a 35-year experience with 2807 patients. Head Neck Surg 8 : 177, 1986. https://doi.org/10.1002/hed.2890080309
  11. Ghosh S, Panarese A, Bull PD, Lee JA: Marginally excised parotid pleomorphic salivary adenomas: risk factors for recurrence and management. A 12.5 year mean follow-up study of histologically marginal excision. Clin Otolarygol 28 : 262, 2003. https://doi.org/10.1046/j.1365-2273.2003.00704.x
  12. Chaushu G, Dori S, Sela BA et al : Salivary flow dynamics after parotid surgery: A preliminary report. Otolaryngol Head Neck Surg 124 : 270, 2001. https://doi.org/10.1067/mhn.2001.112484
  13. Rustemeyer J, Eufinger H, Bremerich A: The incidence of Frey's syndrome. J Cranio-Maxillofac Surg 36 : 34, 2008. https://doi.org/10.1016/j.jcms.2007.07.003
  14. Kim JR, Park BW, Chung IK: A clinical study of pleomorphic adenoma in salvary glands. J Kor Oral Maxillofac Surg 31 : 170, 2005.