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Facial Nerve in Recurrent Benign Pleomorphic Adenoma

Facial Nerve in Recurrent Benign Pleomorphic Adenoma Abstract • Improvements in the treatment of benign and malignant tumors in the parotid gland have substantially reduced the incidence of recurrence. This has come about primarily by the abandonment of the enucleation techniques and the development of the lateral lobectomy operation. The recurrence rate for benign mixed tumor in the parotid gland is variously reported in the ranges of 0.5% to 10%. Because the benign mixed tumor comprises approximately 65% of the tumors in this gland, this complication assumes an important and specific role. A review of this problem establishes the principles of management, extending from simple reexcision through total parotidectomy with preservation of the facial nerve, and radical parotidectomy with resection of the facial nerve and immediate nerve grafting. (Arch Otolaryngol 105:247-251, 1979) References 1. Krolls SO, Boyers RC: Mixed tumors of salivary glands . Cancer 30:276-281, 1972.Crossref 2. McFarland J: Three hundred mixed tumors of the salivary glands, of which 69 recurred . Surg Gynecol Obstet 63:457-462, 1936. 3. Kirklin JW, McDonald JR, Harrington SW, et al: Parotid tumors: Histopathology clinical behavior and end results . Surg Gynecol Obstet 92:721-733, 1951. 4. Patey DH: The treatment of mixed tumours of the parotid gland . Br J Surg 28:29-31, 1940.Crossref 5. Foote FW Jr, Frazell EL: Tumors of the major salivary glands . Cancer 6:1065-1074, 1953.Crossref 6. Buxton RW, Maxwell JH, French AJ: Surgical treatment of epithelial tumors of the parotid gland . Surg Gynecol Obstet 97:401-404, 1953. 7. Houck JW: Tumors of the salivary glands: II. A study of 48 cases, with the presentation of a new classification . Surgery 6:565-570, 1939. 8. Stea G: Conservative surgical treatment of mixed tumors of the parotid gland . J Maxillofac Surg 3:135-137, 1975.Crossref 9. Richardson GS, Dickason WL, Gaisford JC, et al: Tumors of salivary glands . Plast Reconstr Surg 55:131-136, 1975.Crossref 10. Frazell EL: Clinical aspects of tumors of the major salivary glands . Cancer 7:637-659, 1954.Crossref 11. Sinha BK, Buntine DW: Parotid gland tumors: Clinicopathologic study . Am J Surg 129:675-679, 1975.Crossref 12. Garas J, Politis A, Besbeas S, et al: Neoplasms of the parotid gland, review of 185 operated cases . Int Surg 58:178-182, 1973. 13. Work WP, Batsakis JG, Bailey DG: Recurrent benign mixed tumor and the facial nerve . Arch Otolaryngol 102:15-19, 1976.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Facial Nerve in Recurrent Benign Pleomorphic Adenoma

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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1979 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1979.00790170017004
Publisher site
See Article on Publisher Site

Abstract

Abstract • Improvements in the treatment of benign and malignant tumors in the parotid gland have substantially reduced the incidence of recurrence. This has come about primarily by the abandonment of the enucleation techniques and the development of the lateral lobectomy operation. The recurrence rate for benign mixed tumor in the parotid gland is variously reported in the ranges of 0.5% to 10%. Because the benign mixed tumor comprises approximately 65% of the tumors in this gland, this complication assumes an important and specific role. A review of this problem establishes the principles of management, extending from simple reexcision through total parotidectomy with preservation of the facial nerve, and radical parotidectomy with resection of the facial nerve and immediate nerve grafting. (Arch Otolaryngol 105:247-251, 1979) References 1. Krolls SO, Boyers RC: Mixed tumors of salivary glands . Cancer 30:276-281, 1972.Crossref 2. McFarland J: Three hundred mixed tumors of the salivary glands, of which 69 recurred . Surg Gynecol Obstet 63:457-462, 1936. 3. Kirklin JW, McDonald JR, Harrington SW, et al: Parotid tumors: Histopathology clinical behavior and end results . Surg Gynecol Obstet 92:721-733, 1951. 4. Patey DH: The treatment of mixed tumours of the parotid gland . Br J Surg 28:29-31, 1940.Crossref 5. Foote FW Jr, Frazell EL: Tumors of the major salivary glands . Cancer 6:1065-1074, 1953.Crossref 6. Buxton RW, Maxwell JH, French AJ: Surgical treatment of epithelial tumors of the parotid gland . Surg Gynecol Obstet 97:401-404, 1953. 7. Houck JW: Tumors of the salivary glands: II. A study of 48 cases, with the presentation of a new classification . Surgery 6:565-570, 1939. 8. Stea G: Conservative surgical treatment of mixed tumors of the parotid gland . J Maxillofac Surg 3:135-137, 1975.Crossref 9. Richardson GS, Dickason WL, Gaisford JC, et al: Tumors of salivary glands . Plast Reconstr Surg 55:131-136, 1975.Crossref 10. Frazell EL: Clinical aspects of tumors of the major salivary glands . Cancer 7:637-659, 1954.Crossref 11. Sinha BK, Buntine DW: Parotid gland tumors: Clinicopathologic study . Am J Surg 129:675-679, 1975.Crossref 12. Garas J, Politis A, Besbeas S, et al: Neoplasms of the parotid gland, review of 185 operated cases . Int Surg 58:178-182, 1973. 13. Work WP, Batsakis JG, Bailey DG: Recurrent benign mixed tumor and the facial nerve . Arch Otolaryngol 102:15-19, 1976.Crossref

Journal

Archives of Otolaryngology – American Medical Association

Published: May 1, 1979

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