Transoral Excision of a Large Accessory Parotid Gland Tumor

xlomafota13 shared this article with you from Inoreader Transoral Excision of a Large Accessory Parotid Gland Tumor Via ear nose throat Ear Nose Throat J. 2021 Sep 13:1455613211036237. doi: 10.1177/01455613211036237. Online ahead of print. ABSTRACT Accessory parotid gland (APG) tumors account for 1% to 7% of all parotid gland neoplasms but are more likely to be malignant than main parotid gland tumors. Management of APG neoplasms entails surgical excision. Four primary approaches to resection have been described in the literature with varying facial nerve outcomes. We report a case of a 4-cm APG pleomorphic adenoma utilizing a transoral approach for excision without postoperative facial nerve injury. A transoral approach is known to mitigate patients' cosmetic concerns; however, prior reports utilized endoscopic assistance on patients with smaller tumors. We conclude that large APG tumors can be excised through a transoral approach without undue risk to the distal facial nerves, though this transoral approach ultimately may not be appropriate for malignant neoplasms or difficult dissections. PMID:34510932 | DOI:10.1177/01455613211036237 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.