Document Detail

Wide excision of accessory parotid gland with anterior approach.
MedLine Citation:
PMID:  22337398     Owner:  NLM     Status:  MEDLINE    
Accessory parotid gland tissue has been described as salivary tissue adjacent to the Stensen duct that is distinctly separate from the main body of the parotid gland. Of all parotid gland tumors, 1% to 8% arise from the accessory parotid gland. Little is known about the accessory parotid gland, and it is seldom mentioned in the literature. Between 1999 and 2010, we have treated and followed 8 patients with tumors of the accessory parotid gland. There were 5 males and 3 females with a mean age of 35 years. They all presented with an asymptomatic cheek mass, and 4 of them underwent fine-needle aspiration. Ultrasound or computed tomographic scan was used in all patients. All the patients underwent surgical intervention with standard parotidectomy incision and anterior extension. The mean follow-up time was 44 months (range, 6-120 months). Seven patients had benign disease. Four cases were pleomorphic adenoma, and the remaining 3 benign cases were parotid cyst, basal cell adenoma, and hemangioma. Only 1 patient had a malignant tumor that was a lymphoepithelioma-like carcinoma. In 7 cases, wide excision (excision of mass and accessory lobe of the parotid gland) was done because of the intra-accessory parotid gland lesion. One patient had concomitant superficial parotidectomy because the tumor was located very close to and has involved the parotid gland proper. There was no serious postoperative complication and recurrence. Prudent preoperative diagnostic evaluation and meticulous surgical approach are the keys to successful management of midcheek lesions. A wide excision of the accessory lobe of the parotid gland can be a definitive surgery in case of solitary tumor with an intact parotid fascia, and wide excision with anterior approach through a standard parotidectomy incision is preferred to a direct incision over the mass.
Hwan Jun Choi; Young Man Lee; Jun Hyuk Kim; Min Seong Tark; Jang Hyun Lee
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  23     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-02-16     Completed Date:  2012-07-24     Revised Date:  2013-12-23    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  165-8     Citation Subset:  D    
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MeSH Terms
Adenoma / surgery
Adenoma, Pleomorphic / surgery
Biopsy, Fine-Needle
Carcinoma, Squamous Cell / surgery
Cysts / surgery
Fascia / surgery
Follow-Up Studies
Hemangioma / surgery
Middle Aged
Parotid Diseases / surgery
Parotid Gland / pathology*,  surgery,  ultrasonography
Parotid Neoplasms / surgery*,  ultrasonography
Salivary Ducts / pathology
Tomography, X-Ray Computed
Treatment Outcome
Comment In:
J Craniofac Surg. 2013 Nov;24(6):2211-2   [PMID:  24220450 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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