Logo for University of Iowa Health Care This logo represents the University of Iowa Health Care
Meet the Iowa Otolaryngology Research Scholar FellowClick Here

Parotid Duct Anatomy Case Example Resection of Recurrent Accessory Lobe Pleomorphic Adenoma Transoral

last modified on: Fri, 01/05/2024 - 12:18

return to: Parotidectomy with Facial Nerve Dissection

History: 26 year old female was referred after a transoral approach in effort to remove buccal mass (with hematoma and temporary facial nerve weakness). Persistence of the mass warranted effort at conservative resection via parotidectomy approach; recurrence identified multiple foci within the tract extending from the intra-oral scar warranting the surgical treatment below followed by postoperative irradiation. Facial nerve weakness post-op fully resolved 6 weeks later.

Recurrent PA resected with parotidectomy extended to include buccal mucosa

References

Wallace AS, MOrris CG, Kirwan JM, Werning JW and Mendenhall WM: Radiotherapy for pleomorphic adenoma. Am J Otolaryngol 2013 Jan: 34(1):36-40

Park GC, Cho KJ, Kang J, Roh JL, Choi SH, Kim SY, and Nam SY: Relationship between histopathology of pleomorphic adenoma in the parotid gland and recurrence after superficial parotidectomy. J Surg Oncol. 2012 Dec; 106(8):942-6