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Extracapsular dissection via single cervical incision for parotid pleomorphic adenoma

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Abstract

Objectives

Surgical management of parotid pleomorphic adenoma ranges from total parotidectomy to extracapsular dissection (ECD). Minimalistic techniques aim to preserve function and minimize the rate of recurrence. This study assesses functional, aesthetic, and disease control outcomes post-ECD through a sole transverse cervical incision for parotid pleomorphic adenoma.

Materials and methods

This longitudinal analysis enrolled 36 consecutive patients with pleomorphic adenoma who underwent ECD via a single cervical incision. Complications, satisfaction, salivary function, and tumor recurrence were evaluated. Salivary gland function was assessed using scintigraphy at 6 months post-surgery.

Results

Tumors occurred in superficial (83%) or deep (17%) parotid inferior parts according to the European Salivary Gland Society level classification. The median tumor size was 2.8 cm (1.8–6.0 cm); the median operation time was 42 min (30–65 min). No tumor spillage or facial nerve injuries occurred. Facial nerve paralysis was only temporary in two (6%) patients, with minimal other complications. Operated parotid gland function matched the unoperated side. No recurrence was found during the median follow-up of 44 months (24–60 months).

Conclusions

ECD via a single transverse cervical incision is a safe approach for benign parotid tumors, yielding excellent functional and disease control outcomes.

Clinical relevance

These findings can provide clinically meaningful minimally invasive recommendations to treat pleomorphic adenoma with minimal complications.

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Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Gyeonggi-do, 13496, Republic of Korea

    Jong-Lyel Roh

  2. Department of Biomedical Science, General Graduate School, CHA University, Seongnam, Republic of Korea

    Jong-Lyel Roh

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  1. Jong-Lyel Roh
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Contributions

Jong-Lyel Roh, conception and design of the study, data acquisition, analysis and interpretation of data, drafting the manuscript, and accountable for all aspects of the work.

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Correspondence to Jong-Lyel Roh.

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The research was approved by the Ethics Committee. Informed consent was provided by all patients.

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Informed permission for publication was acquired from all patients.

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The authors declare no competing interests.

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Roh, JL. Extracapsular dissection via single cervical incision for parotid pleomorphic adenoma. Clin Oral Invest 28, 40 (2024). https://doi.org/10.1007/s00784-023-05420-5

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