J Korean Cleft Palate-Craniofac Assoc.  2004 Oct;5(2):133-136.

Removal of Recurred Pleomorphic Adenoma of Lacrimal Gland Via Coronal Approach

• Lee KS
• Kim JS

Abstract

Pleomorphic adenoma that occurs in the orbit is rare but takes a great part of the tumors of the lacrimal glands. The tumor appears as a palpable mass in the upper and outer quadrant of the orbit. Common symptom is proptosis associated with some displacement of globe and some limitation of ocular movements. During the operation, injury to capsule surrounding the tumor leads to recurrence or malignant transformation of tumor by seeding of tumor cells into adjacent tissues. Therefore, complete removal of tumor without any injury to capsule is important. We report a case of recurred pleomorphic adenoma of lacrimal gland, which was removed via superolateral orbitotomy through coronal incision. The tumor was completely removed with no significant difficulties during operation. Coronal approach for removal of benign mixed tumor of lacrimal gland provides wide exposure of the tumor for complete removal of the mass and good cosmetic effects.

Keyword

Recurred pleomorphic adenoma; Lacrimal gland; Coronal approach

MeSH Terms

Adenoma, Pleomorphic*
Exophthalmos
Lacrimal Apparatus*
Orbit
Recurrence