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Introduction Extracapsular dissection (ECD) challenges the need to remove most of the parotid gland to prevent tumor recurrence. The dissection takes place within the parotid tissue, 2–3 mm peripheral to the palpable and visible tumor edge. In traditional parotidectomy, tumor removal…
Introduction Salivary gland surgery requires knowledge of facial nerve anatomy and meticulous dissection technique. In both adults and children, temporary facial weakness following parotid gland surgery is relatively common, with reported rates ranging from 20% to 40%. Permanent facial nerve…
35.1A Parotidectomy Surgical excision is the preferred treatment for most benign tumors of the parotid gland. It is of paramount importance to carefully examine the patient and to evaluate the imaging tests for better planning of the surgical approach. Once…
34.1 Pleomorphic Adenoma Pleomorphic Adenoma Pleomorphic adenoma (PA) is an enigmatic tumor with a variety of names, including adenoma multiforme and benign mixed tumor. It is one of 15 benign epithelial tumors of the salivary glands as described by the…
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become membership If you are a member. Log in here
Introduction Ductal stenosis produces symptoms of obstruction once luminal diameter is reduced below 1.6 mm (~30% loss of diameter) when fully dilated. Unlike stones, ductal stenosis is more common in the parotid gland (75% of cases) possibly due to the smaller…
Introduction Interventional sialendoscopy has evolved into a range of endoscopic approaches and combined (transoral and external) approaches to manage salivary stones and ductal stenosis in an effort to facilitate gland preservation. Intervention may involve endoscopic therapies like mechanical or balloon…
Submandibular Strictures Obstructive submandibular sialadenitis is characterized by recurrent swelling during meal time, reduced or absent saliva secretion from the affected gland, without a concomitant reduction in saliva production, followed by bacterial infection. The main causes of non-stone-based obstructive diseases…