Browse > Article

SELECTIVE DEEP LOBE PAROTIDECTOMY FOR PRESERVATION OF PAROTID FUNCTION: A CASE REPORT  

Chung, Seung-Won (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
Choi, Se-Kyung (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
Nam, Woong (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
Cha, In-Ho (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
Kim, Hyung-Jun (Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.35, no.5, 2009 , pp. 384-387 More about this Journal
Abstract
Tumors of the deep lobe of parotid gland are rare. These benign tumors have usually been treated by total parotidectomy, which has functional and esthetic side effects. Recently, there has been a trend for operations of parotid gland benign tumors to be less radical and selective deep lobe parotidectomy has been introduced. This technique preserves the superficial lobe and facial nerve when tumor is located in the deep lobe. Selective deep lobe parotidectomy preserves parotid salivary function, minimizes the incidence of facial nerve damage and gustatory sweating (Frey's syndrome) and improves cosmetic outcome. We report a case of pleomorphic adenoma of the deep lobe that was successfully treated by selective deep lobe parotidectomy with satisfactory result.
Keywords
selective deep lobe parotidectomy; parotid salivary function; facial nerve damage; gustatory sweating; cosmetic outcome;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Donovan DT, Conley JJ. Capsular significance in parotid tumor surgery: reality and myths of lateral lobectomy. Laryngoscope 1984;94:324-9
2 Maynard JD. Management of pleomorphic adenoma of the parotid. Br J Surg 1988;75:305-8   DOI   ScienceOn
3 Patey DH, Thackray AC. The treatment of parotid tumours in the light of a pathological study of parotidectomy material. Br J Surg 1958;45:477-87   DOI   ScienceOn
4 Colella G, Giudice A, Rambaldi P, Cuccurullo V. Parotid function after selective deep lobe parotidectomy. Br J Oral Maxillofac Surg 2007;45:108-11   DOI   ScienceOn
5 Som PM, Biller HF, Lawson W. Tumors of the parapharyngeal space: preoperative evaluation, diagnosis and surgical approaches. Ann Otol Rhinol Laryngol Suppl 1981;90:3-15
6 Hussain A, Murray DP. Preservation of the superficial lobe for deep-lobe parotid tumors: a better aesthetic outcome. Ear Nose Throat J 2005;84:518, 520-2, 524
7 Horn-Ross PL, West DW, Brown SR. Recent trends in the incidence of salivary gland cancer. Int J Epidemiol 1991;20:628-33   DOI   PUBMED
8 Singleton GT, Cassisi NJ. Frey's syndrome: incidence related to skin flap thickness in parotidectomy. Laryngoscope 1980;90:1636-9
9 Terris DJ, Tuffo KM, Fee WE, Jr.. Modified facelift incision for parotidectomy. J Laryngol Otol 1994;108:574-8
10 Baker DC, Conley J. Surgical approach to retromandibular parotid tumors. Ann Plast Surg 1979;3:304-14   DOI   ScienceOn
11 Gaillard C, Perie S, Susini B, St Guily JL. Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope 2005;115:287-91   DOI   ScienceOn
12 Leverstein H, van der Wal JE, Tiwari RM, van der Waal I, Snow GB. Surgical management of 246 previously untreated pleomorphic adenomas of the parotid gland. Br J Surg 1997;84:399-403   DOI   ScienceOn
13 Carr RJ, Bowerman JE. A review of tumours of the deep lobe of the parotid salivary gland. Br J Oral Maxillofac Surg 1986;24:155-68   DOI   ScienceOn
14 Spiro RH. Salivary neoplasms: overview of a 35-year experience with 2,807 patients. Head Neck Surg 1986;8:177-84   DOI   PUBMED   ScienceOn
15 Hanna DC, Gaisford JC, Richardson GS, Bindra RN. Tumors of the deep lobe of the parotid gland. Am J Surg 1968;116:524-7   DOI   ScienceOn
16 Laccourreye H, Laccourreye O, Cauchois R, Jouffre V, Menard M, Brasnu D. Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25-year experience with 229 patients. Laryngoscope 1994;104:1487-94
17 Woods JE, Chong GC, Beahrs OH. Experience with 1,360 primary parotid tumors. Am J Surg 1975;130:460-2   DOI   ScienceOn
18 Roh JL, Park CI. Function-preserving parotid surgery for benign tumors involving the deep parotid lobe. J Surg Oncol 2008;98:42-5   DOI   ScienceOn
19 Avery CM, Fleming K, Siegmund CJ. Preservation of the superficial lobe with tumours of the deep-lobe of the parotid. Br J Oral Maxillofac Surg 2007;45:247-8   DOI   ScienceOn
20 Yamashita T, Tomoda K, Kumazawa T. The usefulness of partial parotidectomy for benign parotid gland tumors. A retrospective study of 306 cases. Acta Otolaryngol Suppl 1993;500:113-6
21 Chaushu G, Dori S, Sela BA, Taicher S, Kronenberg J, Talmi YP. Salivary flow dynamics after parotid surgery: a preliminary report. Otolaryngol Head Neck Surg 2001;124:270-3   DOI   ScienceOn
22 Nigro MF, Jr., Spiro RH. Deep lobe parotid tumors. Am J Surg 1977;134:523-7   DOI   ScienceOn
23 Nichols RD, Stine PH, Bartschi LR. Facial nerve function in 100 consecutive parotidectomies. Laryngoscope 1979;89:1930-4
24 Zhao K, Qi DY, Wang LM. Functional superficial parotidectomy. J Oral Maxillofac Surg 1994;52:1038-41   DOI   ScienceOn