Wide excision of accessory parotid gland with anterior approach

The Journal of Craniofacial Surgery
Hwan Jun ChoiJang Hyun Lee

Abstract

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 patien...Continue Reading

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Citations

Sep 21, 2013·American Journal of Otolaryngology·Travis R NewberryFrank R Miller
Apr 23, 2015·Head & Neck·Seung Hoon Woo
Nov 14, 2013·The Journal of Craniofacial Surgery·Julia RatourAdriana Handra-Luca
Dec 20, 2019·The Journal of Craniofacial Surgery·Mateusz A RosaKrzysztof A Tomaszewski
Jan 23, 2021·Oral and Maxillofacial Surgery Clinics of North America·Ryan F Osborne
Aug 28, 2020·The British Journal of Oral & Maxillofacial Surgery·W HuvenneH Vermeersch
Mar 1, 2021·American Journal of Otolaryngology·Shuji OmuraYoshinobu Hirose

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