Review of publications on the possible advantages of a direct cheek incision for accessory parotid gland masses

Lesions of the accessory parotid gland (APG) are rare and surgical management is generally under-discussed. The surgical approach should provide complete resection, while minimising complications and aesthetic complaints. The current study reviews recent publications on the surgical management of AP...

Full description

Saved in:
Bibliographic Details
Published in:British journal of oral & maxillofacial surgery 2020-12, Vol.58 (10), p.e248-e253
Main Authors: Huvenne, W., De Vriese, C., Bogaert, J., Vermeersch, H.
Format: Article
Language:English
Subjects:
accessory parotid gland
Aged
cheek
Cheek - surgery
Dentistry
Esthetics, Dental
facial nerve
Humans
Neoplasm Recurrence, Local
Parotid Gland - surgery
parotid neoplasms
Parotid Neoplasms - surgery
surgical treatment
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Lesions of the accessory parotid gland (APG) are rare and surgical management is generally under-discussed. The surgical approach should provide complete resection, while minimising complications and aesthetic complaints. The current study reviews recent publications on the surgical management of APG masses, and discusses the advantages, and limitations of, and our experience with, direct cheek incision. Papers on the surgical management of APG masses published in the last 10 years were systematically searched. Information was obtained regarding the surgical approach, type of excision, and postoperative complications. In the included studies, 253 APG masses were selected for analysis, whereof six were treated with the direct cheek incision. Although no local recurrence or postoperative complications were observed after this, the approach was usually not recommended due to a higher reported risk of recurrence and complications in older papers. More recent studies, however, indicate that the direct cheek incision should be considered as a valuable alternative to standard approaches in selected patients.
ISSN:0266-4356
1532-1940
DOI:10.1016/j.bjoms.2020.08.002