Management of the Clinically Negative Neck The current consensus involves treatment of the neck for selected patients with tumors that display poor prognostic features for metastasis, although some do advocate elective treatment of the neck for all salivary gland malignancies.…
47.1 Parotid Gland A complete surgical resection with negative margins is the primary goal when treating malignant tumors of the parotid gland. Preparation for surgery includes clinical evaluation of the patient, physical examination, including testing facial nerve function, cytologic evaluation…
Overview Prognostic Research for Salivary Gland Cancer Prognostic research for patients with salivary gland carcinoma relates specific prognostic factors to specific oncologic outcomes. Outcomes generally studied are “overall survival” (death from any cause as the central event); “disease specific survival”…
Overview Malignant salivary gland tumors are rare, accounting for <1% of all cancers and 3–5% of head and neck cancers. It encompasses a diverse group of disease entities with heterogeneous histologies and clinical behaviors. Advances in genomic and molecular pathology…
Introduction Vascular lesions may involve both major and minor salivary glands, simultaneously with other neck spaces. Most cases are present in pediatric patients. This chapter reviews the differential diagnosis and treatment of hemangiomas and vascular malformations ( Table 44.1 ).…
Introduction Buccal space tumors may arise from salivary tissue, facial artery and vein, mandibular and facial nerves, adipose tissue, muscular, and lymphoid tissue. Additionally, the buccal space can be involved by direct invasion or metastasis from regional or distant cancer.…
42.1 Prestyloid and Poststyloid Tumors The parapharyngeal space is a potential space in the deep neck, shaped like an inverted pyramid. The fascia, running posteriorly from the styloid process to the tensor veli palatini muscle, divides the parapharyngeal space into…
Introduction Recurrent pleomorphic adenoma (RPA) occurs at a rate generally ranging between 2% and 8%. The vast majority of RPAs are multinodular (33–98%). You’re Reading a Preview Become a Clinical Tree membership for Full access and enjoy Unlimited articles Become…
Introduction Parotidectomy is a common treatment for benign or malignant tumors of the parotid gland and for aggressive cutaneous facial tumors. Ablation of the gland with or without adjacent tissues may lead to poor facial contour at the angle of…
Introduction The most devastating complication of parotid surgery is facial paralysis (see Chapter 50 ) and therefore preoperative counseling is generally centered around it. Early postoperative complications include sialoceles/salivary fistula, skin anesthesia, and “wound complications” such as infection, bleeding, hematoma,…