Surgical treatment of parotid gland pleomorphic adenomas: Our experiments and literature review

Salim Yüce¹, İsmail Önder Uysal¹, Mansur Doğan¹, Canan Filiz Karakuş², Kerem Polat², Suphi Müderris³

¹Assistant Professor, Department of Otolaryngology, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey

²M.D, Department of Otolaryngology, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey

³Professor, Department of Otolaryngology, Faculty of Medicine, Cumhuriyet University, Sivas, Turkey

Corresponding Author E-mail: salimyucekbb@hotmail.com; Tel: +90 346 258 00 00-0385; Fax: +90 346 258 13 00

Accepted 12 June, 2013

Abstract

Pleomorphic adenoma is the most common neoplasm of the parotid gland This study was carried out to evaluate tumor recurrence following extracapsular dissection of pleomorphic adenomas of the parotid gland. Previous studies have shown that extracapsular dissection (ECD) is an alternative approach to superficial parotidectomy (SP) for pleomorphic adenoma parotid tumours, associated with low recurrence rates equal to those following SP, but with significantly reduced morbidity. We conducted a retrospective evaluation and clinical follow-up of the patients who underwent extracapsular dissection of a pleomorphic adenoma as primary surgery in the otolaryngologic department of the Cumhuriyet University Clinics during the period from 2004 to 2012. 25 (89.3%) of 28 patients in the study were applied SP technique and 3 (10.7%) of them were applied ECD technique and no recurrence was detected. This study demonstrates that Extracapsular dissection is a viable alternative to superficial parotidectomy for the majority of parotid pleomorphic adenomas, associated with reduced morbidity.

Keywords: Parotid gland,extracapsular dissection, pleomorphic adenoma,recurrence