구강 내 접근법으로 부이하선에 발생한 다형선종 제거를 실패한 1예를 통한 교훈
Lessons From a Case of Failed Attempt to Remove Pleomorphic Adenoma of the Accessory Parotid Gland via Transoral Approach
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An accessory parotid gland is salivary gland tissue that exists separately anterior to the parot-id gland. Since malignant tumors can be found in about 50% of accessory parotid tumors, thestandard treatment is radical resection via externa l approach. However, with the developmentof endoscopic surgery in the head and neck field, the transoral approach using an endoscope isalso being tried. Although this technique could remove benign tumors without skin incision,there may be cases where removal via transoral approach may prove difficult. The authors ex-perienced a case of failed attempt to remove pleomorphic adenoma in the accessory parotidgland via transoral approach in a 24-year-old male patient. We analyzed the causes of surgicalfailure in this case from various perspectives. We believe that our lessons from this failed casecould help determine the appropriate surgical indications of transoral approach in the acces-sory parotid gland tumor.
Abstract
An accessory parotid gland is salivary gland tissue that exists separately anterior to the parot-id gland. Since malignant tumors can be found in about 50% of accessory parotid tumors, thestandard treatment is radical resection via externa l approach. However, with the developmentof endoscopic surgery in the head and neck field, the transoral approach using an endoscope isalso being tried. Although this technique could remove benign tumors without skin incision,there may be cases where removal via transoral approach may prove difficult. The authors ex-perienced a case of failed attempt to remove pleomorphic adenoma in the accessory parotidgland via transoral approach in a 24-year-old male patient. We analyzed the causes of surgicalfailure in this case from various perspectives. We believe that our lessons from this failed casecould help determine the appropriate surgical indications of transoral approach in the acces-sory parotid gland tumor.
참고문헌 (8)
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