Journal Article

Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery?

Rinaldo, Alessandra, Woolgar, Julia A., Shaha, Ashok R., Zbären, Peter, Witt, Robert L., Triantafyllou, Asterios, Ferlito, Alfio, Takes, Robert P., Vander Poorten, Vincent

2013

Overview

Optimal 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. PubMed literature searches were performed to identify original studies. Almost 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.

• Publisher: Elsevier Inc,Elsevier Limited
• Subject: Adenoma pleomorphic / Adenoma, Pleomorphic - diagnosis / Adenoma, Pleomorphic - surgery / Body fat / Carcinoma - pathology / Cell Transformation, Neoplastic - pathology / Connective tissue / Dissection / Humans / Limited surgery / Neoplasm Recurrence, Local - prevention & control / Parotid gland / Parotid Gland - surgery / Parotid Neoplasms - diagnosis / Parotid Neoplasms - surgery / Parotidectomy / Superficial parotidectomy / Surgery / Tumors