E-ISSN 2602-4837
Survey of opinions on the management of pleomorphic adenoma among United Kingdom oral and maxillofacial surgeons [Tr-ENT]
Tr-ENT. 2010; 20(3): 129-136

Survey of opinions on the management of pleomorphic adenoma among United Kingdom oral and maxillofacial surgeons

Bassel Tarakji1, Mohammad Z. Nassani

Objectives: This study aims to highlight the current points of
view regarding the management of pleomorphic adenomas
among oral and maxillofacial surgeons in the United Kingdom.
Patients and Methods: A questionnaire was drafted and sent
to all the consultant members of the British Society of Oral
Maxillofacial Surgery (n=263). The survey evaluated the surgical
experience of the surgeon, the preferred surgical treatment of a
newly diagnosed 3 cm diameter pleomorphic adenoma in the
superficial lobe of the parotid gland in an adult and a child, and
the treatment options of pleomorphic salivary adenoma (PSA)
with the four following scenarios: (i) PSA with complete excision
or incomplete excision; (ii) PSA with carcinoma in situ (atypical
pleomorphic adenoma) with complete excision or incomplete
excision; (iii) PSA with non-invasive malignant transformation
with complete or incomplete excision; and (iv) carcinoma in
PSA with complete or incomplete excision. The initial response
was low so two reminders were sent to increase the rate of
response.
Results: The final response rate was 67%. The results showed that
there was no significant difference in the opinions of the respondents
regarding treatment of pleomorphic adenoma in both adults
and children. Seventy-five (56.4%) of 133 surgeons were treated the
multinodular recurrence in older patients with surgery combined
with radiotherapy. One-hundred and five (78.9%) surgeons were
treated older patients with solitary recurrence with surgery alone.
There was a consensus on complete excision for the treatment of
carcinoma in situ (atypical pleomorphic adenoma) or PSA with noninvasive
malignant transformation.
Conclusion: This survey shows that superficial parotidectomy
is the standard treatment method for primary pleomorphic
adenoma in children and adults. Surgery combined with
radiotherapy is the preferred option in the case of multinodular
recurrence, and surgery alone is recommended in the case of a
solitary recurrence.

Keywords: Carcinoma in pleomorphic adenoma; pleomorphic adenoma;superficial parotidectomy.

Büyük Britanya’daki oral ve maksillofasyal cerrahlar arasında pleomorfik adenomların tedavisi ile ilgili anket araştırması

Bassel Tarakji1, Mohammad Z. Nassani

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Anahtar Kelimeler: Pleomorfik adenom karsinomu; pleomorfik adenom;süperfisyel parotidektomi.

Bassel Tarakji, Mohammad Z. Nassani. Survey of opinions on the management of pleomorphic adenoma among United Kingdom oral and maxillofacial surgeons. Tr-ENT. 2010; 20(3): 129-136

Corresponding Author: Bassel Tarakji
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