Pleomorphic adenoma natural history, complications and prognosis: Difference between revisions

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(/* Post-operative complications include{{cite journal|last1=Infante-Cossio|first1=P|last2=Gonzalez-Cardero|first2=E|last3=Garcia-Perla-Garcia|first3=A.|last4=Montes-Latorre|first4=E|last5=Gutierrez-Perez|first5=JL|last6=Prats-Golczer|first6=E|title=Com...)
 
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*[[Facial nerve]] [[transection]] especially after [[Parotidectomy|superficial parotidectomy.]]
*[[Facial nerve]] [[transection]] especially after [[Parotidectomy|superficial parotidectomy.]]


====Post-operative complications include<ref name="Infante-CossioGonzalez-Cardero2018">{{cite journal|last1=Infante-Cossio|first1=P|last2=Gonzalez-Cardero|first2=E|last3=Garcia-Perla-Garcia|first3=A.|last4=Montes-Latorre|first4=E|last5=Gutierrez-Perez|first5=JL|last6=Prats-Golczer|first6=E|title=Complications after superficial parotidectomy for pleomorphic adenoma|journal=Medicina Oral Patología Oral y Cirugia Bucal|year=2018|pages=0–0|issn=16986946|doi=10.4317/medoral.22386}}</ref>:====:====
====Post-operative complications include<ref name="Infante-CossioGonzalez-Cardero2018">{{cite journal|last1=Infante-Cossio|first1=P|last2=Gonzalez-Cardero|first2=E|last3=Garcia-Perla-Garcia|first3=A.|last4=Montes-Latorre|first4=E|last5=Gutierrez-Perez|first5=JL|last6=Prats-Golczer|first6=E|title=Complications after superficial parotidectomy for pleomorphic adenoma|journal=Medicina Oral Patología Oral y Cirugia Bucal|year=2018|pages=0–0|issn=16986946|doi=10.4317/medoral.22386}}</ref>:====
*[[Haemorrhage]] or [[haematoma]]
*[[Haemorrhage]] or [[haematoma]]
*[[Infection]] at the site
*[[Infection]] at the site

Latest revision as of 19:42, 28 January 2019

Pleomorphic adenoma Microchapters

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Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pleomorphic adenoma from other Diseases

Epidemiology and Demographics

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Natural History, Complications and Prognosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2]

Overview

Pleomorphic adenoma is usually asymptomatic though some people present with a palpable nodular mass which is slow growing and painless. The complications that arise from surgery include rupture of the capsule of the tumor, incomplete resection of the tumor, haematoma or haemorrhage, facial nerve palsy, trismus, wound infection, frey's syndrome, parotid fistula and hypoesthesia of the greater auricular nerve. The prognosis of pleomorphic adenoma is generally excellent after complete resection of the tumor. Although a small proportion i.e 2-7% of cases can go to malignant transformation.

Natural History, Complications, and Prognosis

Natural History

Complications

Intra-operative complications include[2]:

Post-operative complications include[2]:

Apart from the above mentioned other complications include facial disfigurement and multiple recurrences.

Prognosis

References

  1. Zhan, Kevin Y.; Khaja, Sobia F.; Flack, Allen B.; Day, Terry A. (2016). "Benign Parotid Tumors". Otolaryngologic Clinics of North America. 49 (2): 327–342. doi:10.1016/j.otc.2015.10.005. ISSN 0030-6665.
  2. 2.0 2.1 Infante-Cossio, P; Gonzalez-Cardero, E; Garcia-Perla-Garcia, A.; Montes-Latorre, E; Gutierrez-Perez, JL; Prats-Golczer, E (2018). "Complications after superficial parotidectomy for pleomorphic adenoma". Medicina Oral Patología Oral y Cirugia Bucal: 0–0. doi:10.4317/medoral.22386. ISSN 1698-6946.
  3. Bjerkhoel A, Trobbe O (September 1997). "Frey's syndrome: treatment with botulinum toxin". J Laryngol Otol. 111 (9): 839–44. PMID 9373550.
  4. Hui, Yau; Wong, David S.Y; Wong, Ling-Yuen; Ho, Wai-Kuen; Wei, William I (2003). "A prospective controlled double-blind trial of great auricular nerve preservation at parotidectomy". The American Journal of Surgery. 185 (6): 574–579. doi:10.1016/S0002-9610(03)00068-0. ISSN 0002-9610.
  5. Laskawi R, Schott T, Schröder M (February 1998). "Recurrent pleomorphic adenomas of the parotid gland: clinical evaluation and long-term follow-up". Br J Oral Maxillofac Surg. 36 (1): 48–51. PMID 9578257.
  6. Wittekindt, Claus; Streubel, Kristina; Arnold, Georg; Stennert, Eberhard; Guntinas-Lichius, Orlando (2007). "Recurrent pleomorphic adenoma of the parotid gland: Analysis of 108 consecutive patients". Head & Neck. 29 (9): 822–828. doi:10.1002/hed.20613. ISSN 1043-3074.
  7. Said, Sherif; Campana, John (2005). "Myoepithelial carcinoma ex pleomorphic adenoma of salivary glands: A problematic diagnosis". Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 99 (2): 196–201. doi:10.1016/j.tripleo.2003.11.014. ISSN 1079-2104.

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