Is extracapsular dissection for pleomorphic adenoma rather a euphemism for enucleation that jeopardises the intactness of the capsule?

Mantsopoulos K, Iro AK, Sievert M, Mueller SK, Agaimy A, Schapher M, Koch M, Iro H (2021)

Publication Type: Journal article

Publication year: 2021

Journal

British Journal of Oral and Maxillofacial Surgery Elsevier

DOI: 10.1016/j.bjoms.2021.03.002

Abstract

The aim of this study was to compare several surgical modalities with respect to the incidence of positive margins and focal capsular exposure of pleomorphic adenoma of the parotid gland. The clinical records and histopathological findings of all patients who underwent parotidectomy for pleomorphic adenoma between 2006 and 2020 were retrospectively evaluated (n = 845). The lesion was removed by extracapsular dissection in 577 cases (68%) and facial nerve dissection in 268 (32%). Our analysis did not reveal a statistically significant difference between the examined modalities regarding positive margins (p=0.648) or capsular exposure (p=0.112). Recurrences were detected in 7/845 cases (0.82%) with a mean (range) follow-up time of 82.3 (6-183) months. The choice of surgical method does not seem to have a significant effect on the incidence of positive margins, or on the capsular exposure of a pleomorphic adenoma.

Authors with CRIS profile

Konstantinos Mantsopoulos Department of Otorhinolaryngology – Head and Neck Surgery Matti Sievert Department of Otorhinolaryngology – Head and Neck Surgery Sarina Müller-Hübner Department of Otorhinolaryngology – Head and Neck Surgery Abbas Agaimy Lehrstuhl für Allgemeine Pathologie und Pathologische Anatomie Mirco Schapher Department of Otorhinolaryngology – Head and Neck Surgery Matthias Koch
Heinrich Iro Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde

How to cite

APA:

Mantsopoulos, K., Iro, A.K., Sievert, M., Mueller, S.K., Agaimy, A., Schapher, M.,... Iro, H. (2021). Is extracapsular dissection for pleomorphic adenoma rather a euphemism for enucleation that jeopardises the intactness of the capsule? British Journal of Oral and Maxillofacial Surgery. https://doi.org/10.1016/j.bjoms.2021.03.002

MLA:

Mantsopoulos, Konstantinos, et al. "Is extracapsular dissection for pleomorphic adenoma rather a euphemism for enucleation that jeopardises the intactness of the capsule?" British Journal of Oral and Maxillofacial Surgery (2021).

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