Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 9 , Pages 2092-2098 , September 2010

Superficial Parotidectomy Versus Retrograde Partial Superficial Parotidectomy in Treating Benign Salivary Gland Tumor (Pleomorphic Adenoma)

  • Omri Emodi, DMD

      Affiliations

    • Senior Staff, Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus and Technion-Bruce Rappaport Faculty of Medicine, Haifa, Israel
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Emodi: Department of Oral and Maxillofacial Surgery, Rambam Medical Center, PO Box 9602, Haifa, Israel
  • ,
  • Imad Abu El-Naaj, DMD

      Affiliations

    • Senior Staff, Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus and Technion-Bruce Rappaport Faculty of Medicine, Haifa, Israel
  • ,
  • Arye Gordin, MD

      Affiliations

    • Senior Staff, Department of Otorhinolaryngology, Rambam Health Care Campus and Technion-Bruce Rappaport Faculty of Medicine, Haifa, Israel
  • ,
  • Sharon Akrish, DMD

      Affiliations

    • Senior Staff, Department of Pathology, Rambam Health Care Campus and Technion-Bruce Rappaport Faculty of Medicine, Haifa, Israel
  • ,
  • Micha Peled, MD, DMD

      Affiliations

    • Chairman, Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus and Technion-Bruce Rappaport Faculty of Medicine, Haifa, Israel

References 

  1. Neville BW. Oral & Maxillofacial Pathology. (ed 2). Philadelphia: Saunders; 2002;
  2. Henriksson G, Westrin KM, Carlsoo B, et al. Recurrent primary pleomorphic adenomas of salivary gland origin: Intrasurgical rupture, histologic features and pseudopodia. Cancer. 1998;82:617
  3. Papadogeorgakis N, Skouteris CA, Mylonas AI, et al. Superficial parotidectomy: Technical modifications based on tumour characteristics. J Craniomaxillofac Surg. 2004;32:350
  4. Pia F, Policarpo M, Dosdegani R, et al. Centripetal approach to the facial nerve in parotid surgery: Personal experience. Acta Otorhinolaryngol Ital. 2003;23:111
  5. Bhattacharyya N, Richardson ME, Gugino LD. An objective assessment of the advantages of retrograde parotidectomy. Otolaryngol Head Neck Surg. 2004;131:392
  6. Ramsaroop L, Singh B, Allopi L, et al. The surgical anatomy of the parotid fascia. Surg Radiol Anat. 2006;28:33
  7. Al-Kayat A, Bramley P. A modified pre-auricular approach to the temporomandibular joint and malar arch. Br J Oral Surg. 1979;17:91
  8. Johnson JT, Ferlito A, Fagan JJ, et al. Role of limited parotidectomy in management of pleomorphic adenoma. J Laryngol Otol. 2007;121:1126
  9. Yamashita T, Tomoda K, Kumazawa T. The usefulness of partial parotidectomy for benign parotid gland tumors (A retrospective study of 306 cases). Acta Otolaryngol Suppl. 1993;500:113
  10. Pogrel MA, Schmidt B, Ammar A. The relationship of the buccal branch of the facial nerve to the parotid duct. J Oral Maxillofac Surg. 1996;54:71
  11. Richards AT, Digges N, Norton NS, et al. Surgical anatomy of the parotid duct with emphasis on the major tributaries forming the duct and the relationship of the facial nerve to the duct. Clin Anat. 2004;17:463
  12. Pather N, Osman M. Landmarks of the facial nerve: Implications for parotidectomy. Surg Radiol Anat. 2006;28:170
  13. Kawakami S, Tsukada S, Taniguchi W. The superficial temporal and retromandibular veins as guides to expose the facial nerve branches. Ann Plast Surg. 1994;32:295
  14. Helmus C. Subtotal parotidectomy: A 10-year review (1985 to 1994). Laryngoscope. 1997;107:1024
  15. Janes RM. Treatment of tumours of the salivary glands by radical excision. Can Med Assoc J. 1940;43:554
  16. Webb AJ, Eveson JW. Pleomorphic adenoma of the major salivary glands: A study of the capsular form in relation to surgical management. Clin Otolaryngol. 2001;16:134
  17. Valentini V, Fabiani F, Perugini M, et al. Surgical techniques in the treatment of pleomorphic adenoma of the parotid gland: Our experience and review of literature. J Craniofac Surg. 2001;12:565
  18. O'Regan B, Bharadwaj G, Elders A. Techniques for dissection of the facial nerve in benign parotid surgery: A cross specialty survey of oral and maxillofacial and ear nose and throat surgeons in the UK. Br J Oral Maxillofac Surg. 2008;46:564
  19. Witt RL. Minimally invasive surgery for parotid pleomorphic adenoma. Ear Nose Throat J. 2005;84:310
  20. Hancock BD. Clinically benign parotid tumours: Local dissection as an alternative to superficial parotidectomy in selected cases. Ann R Coll Surg Engl. 1999;81:299
  21. Laskawi R, Schott T, Mirzaie-Petri M, et al. Surgical management of pleomorphic adenomas of the parotid gland: A follow-up study of three methods. J Oral Maxillofac Surg. 1996;54:1176
  22. Meningaud JP, Bertolus C, Bertrand JP. Parotidectomy: Assessment of a surgical technique including facelift incision and SMAS advancement. J Craniomaxillofac Surg. 2006;34:34
  23. Honig JF. Omega incision face-lift approach and SMAS rotation advancement flap in parotidectomy for prevention of contour deficiency and conspicuous scars affecting the neck. Int J Oral Maxillofac Surg. 2005;34:612
  24. Nouraei SA, Al-Yaghchi C, Ahmed J, et al. An anatomical comparison of Blair and facelift incisions for parotid surgery. Clin Otolaryngol. 2006;31:531
  25. Anjum K, Revington PJ, Irvine GH. Superficial parotidectomy: Antegrade compared with modified retrograde dissections of the facial nerve. Br J Oral Maxillofac Surg. 2008;46:433
  26. Witt RL, Weinstein GS, Rejto LK. Tympanomastoid suture and digastric muscle in cadaver and live parotidectomy. Laryngoscope. 2005;115:574
  27. Roh JL, Kim HS, Park CI. Randomized clinical trial comparing partial parotidectomy versus superficial or total parotidectomy. Br J Surg. 2007;94:1081
  28. Wennmo C, Spandow O, Emgård P, et al. Pleomorphic adenomas of the parotid gland: Superficial parotidectomy or limited excision?. J Laryngol Otol. 1988;102:603
  29. Iizuka K, Ishikawa K. Surgical techniques for benign parotid tumors: Segmental resection vs extracapsular lumpectomy. Acta Oto Laryngol Suppl. 1998;537:75
  30. Witt RL. The significance of the margin in parotid surgery for pleomorphic adenoma. Laryngoscope. 2002;112:2141
  31. O'Brien CJ. Current management of benign parotid tumors—The role of limited superficial parotidectomy. Head Neck. 2003;25:946
  32. Piekarski J, Nejc D, Szymczak W, et al. Results of extracapsular dissection of pleomorphic adenoma of parotid gland. J Oral Maxillofac Surg. 2004;62:1198
  33. Zbären P, Stauffer E. Pleomorphic adenoma of the parotid gland: Histopathologic analysis of the capsular characteristics of 218 tumors. Head Neck. 2007;29:751
  34. McGurk M, Renehan A, Gleave EN, et al. Clinical significance of the tumour capsule in the treatment of parotid pleomorphic adenomas. Br J Surg. 1996;83:1747
  35. Bradley PJ. Recurrent salivary gland pleomorphic adenoma: Etiology, management, and results. Curr Opin Otolaryngol Head Neck Surg. 2001;9:100

 The first 2 authors contributed equally to this article.

PII: S0278-2391(09)01817-5

doi: 10.1016/j.joms.2009.09.075

Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 9 , Pages 2092-2098 , September 2010