J Korean Assoc Oral Maxillofac Surg.  2009 Oct;35(5):384-387.

Selective Deep Lobe Parotidectomy for Preservation of Parotid Function: A Case Report

Affiliations
  • 1Department of Oral & Maxillofacial Surgery, College of Dentistry, Yonsei University, Korea. kimoms@yuhs.ac
  • 2Oral Cancer Research Institute, College of Dentistry, Yonsei University, Korea.

Abstract

Tumors of the deep lobe of parotid gland are rare. These benign tumors have usually been treated by total parotidectomy, which has functional and esthetic side effects. Recently, there has been a trend for operations of parotid gland benign tumors to be less radical and selective deep lobe parotidectomy has been introduced. This technique preserves the superficial lobe and facial nerve when tumor is located in the deep lobe. Selective deep lobe parotidectomy preserves parotid salivary function, minimizes the incidence of facial nerve damage and gustatory sweating (Frey's syndrome) and improves cosmetic outcome. We report a case of pleomorphic adenoma of the deep lobe that was successfully treated by selective deep lobe parotidectomy with satisfactory result.

Keyword

selective deep lobe parotidectomy; parotid salivary function; facial nerve damage; gustatory sweating; cosmetic outcome

MeSH Terms

Adenoma, Pleomorphic
Cosmetics
Facial Nerve
Incidence
Parotid Gland
Sweating, Gustatory
Cosmetics
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