Unit of Otorhinolaringology, Azienda USL Toscana Nord Ovest (ATNO), Apuane Hospital, Via Mattei 21, 54100 Massa, Italy.
Unit of Otorhinolaringology, Azienda USL Toscana Nord Ovest (ATNO), Apuane Hospital, Via Mattei 21, 54100 Massa, Italy.
Auris Nasus Larynx. 2022 Jun;49(3):511-514. doi: 10.1016/j.anl.2020.10.004. Epub 2020 Nov 6.
Objective; Neoplasm of accessory parotid glands are very rare, accounting for only 1% to 7.7% of all parotid gland tumors. External appproaches including parotidectomy or facelift incision are the recommended treatment, allowing a good control over the anterior facial nerve's branches and Stensen's duct, but they require a large flap elevation and leave an external scar.
We report the case of a 76-year-old woman presented with a chief complaint of swelling in the right cheek. The patient underwent ultrasonography, FNAC and MRI which identified a subcutaneous mass over the anterior border of the masseter muscle.
An endoscopic-assisted transoral resection was performed, no postoperative complications were recorded. Final histology was consistent with pleomorphic adenoma.
In selected cases, the endoscope-assisted transoral approach allow accessory parotid mass excision with better cosmetic results if compared to the transcutaneous approach. Although not negligible, the risk of facial nerve injury is minimized under endoscopic magnification.
副腮腺肿瘤非常罕见，仅占所有腮腺肿瘤的 1%至 7.7%。推荐采用包括腮腺切除术或面部提升切口的外部方法进行治疗，这可以很好地控制面神经分支和斯坦森管，但需要进行大面积皮瓣提升并留下外部疤痕。
我们报告了一例 76 岁女性的病例，其主要症状为右侧脸颊肿胀。患者接受了超声、细针穿刺抽吸活检和 MRI 检查，这些检查确定了咬肌前缘的皮下肿块。
进行了内镜辅助经口切除术，无术后并发症记录。最终的组织学结果与多形性腺瘤一致。
在选择的病例中，与经皮入路相比，内镜辅助经口入路可以更好地切除副腮腺肿块，美容效果更好。虽然内镜下面神经损伤的风险不可忽视，但在放大内镜下可以将面神经损伤的风险降至最低。
