학술논문

An update on extracapsular dissection for the management of parotid gland pleomorphic adenoma.
Document Type
Article
Source
Journal of Oral Pathology & Medicine. Mar2022, Vol. 51 Issue 3, p219-222. 4p. 1 Color Photograph.
Subject
*PAROTIDECTOMY
*PAROTID glands
*BENIGN tumors
*FACIAL nerve
*FREY'S syndrome
Language
ISSN
0904-2512
Abstract
Superficial parotidectomy has been the gold standard for surgical removal of benign mobile parotid gland tumours. The comparatively newer technique of extracapsular dissection, which involves careful dissection of the tumour itself without the need for formal gland excision, has gained popularity in recent years. Tumours can be removed via smaller incision, and the technique reduces the risk of Frey's syndrome (gustatory sweating) and hollowing at the site of surgery. The risk of facial nerve damage can also be lower with extracapsular dissection. If done carefully, the incidence of tumour recurrence, particularly for pleomorphic adenomas, is comparable with formal parotidectomy. We provide a brief update overview of the current evidence for extracapsular dissection in the treatment of benign parotid tumours and include several meta‐analyses which provide evidence for the safety of the technique. We have also included our audited results of over 100 recent extracapsular dissections, with 0% incidence of permanent facial nerve weakness, reported Frey's syndrome and recurrence rates over the last 5 years. [ABSTRACT FROM AUTHOR]