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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


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