Recurrent pleomorphic adenomas of the parotid gland: clinical evaluation and long-term follow-up.
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.
Laskawi
R
R
ENT Department, University of Göttingen, Germany.
Schott
T
T
Schröder
M
M
D008949:Adenoma, Pleomorphic / Q000473:pathology* / Q000517:prevention & control / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005069:Evaluation Studies as Topic; D005155:Facial Nerve Diseases / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000517:prevention & control / Q000601:surgery; D010307:Parotid Neoplasms / Q000473:pathology* / Q000517:prevention & control / Q000601:surgery; D010309:Parotitis / Q000473:pathology; D011183:Postoperative Complications; D012086:Reoperation; D012737:Sex Factors; D013547:Sweating, Gustatory / Q000209:etiology; D013997:Time Factors