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Recurrent pleomorphic adenomas of the parotid gland: clinical evaluation and long-term follow-up.

Authors
  • Laskawi, R
  • Schott, T
  • Schröder, M
Type
Published Article
Journal
British Journal of Oral and Maxillofacial Surgery
Publisher
Elsevier
Publication Date
Feb 01, 1998
Volume
36
Issue
1
Pages
48–51
Identifiers
PMID: 9578257
Source
Medline
License
Unknown

Abstract

We report 94 patients with recurrent pleomorphic adenomas of the parotid gland who were referred to our clinics after operations elsewhere. In 78 patients (83%) enucleation was the surgical technique used to remove the tumour. Patients with more than one recurrence were significantly younger than patients who had only one. Many recurrent adenomas (44%) were multifocal. In 20 (21%) further recurrences became obvious after we had operated on them. The mean time interval before recurrence ranged from 7.3 to 10.1 years. Twenty patients (14%) had persistent motor disorders of the facial nerve after operation for recurrence (n = 143). Twenty eight of the 84 patients from whom follow-up data could be obtained developed Frey's syndrome (33%). Our data support the importance of an adequate initial operation to avoid recurrences of pleomorphic adenomas in the parotid gland.

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