title: Pleomorphic adenoma arising from accessory parotid tissue presenting as dysphonia.
abstract: This article describes an unusual presentation of pleomorphic adenoma arising from accessory parotid tissue. A patient who had recently been diagnosed with Parkinson's disease, presented with worsening dysphonia. Magnetic resonance imaging and ultrasound guided core biopsies confirmed the diagnosis and the mass was removed by extra capsular dissection through a lip split mandibulotomy approach. This case confirms the need for careful examination of the oropharynx in patients with preexisting neurological conditions that develop speech disturbance. It also demonstrates the importance of these imaging techniques in the diagnosis of parapharyngeal lesions.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital Eastbourne, East Sussex BN21 5UD. johno_breeze@hotmail.co.uk
authors.forename: J
authors.initials: J
authors.lastname: Breeze
authors.forename: K
authors.initials: K
authors.lastname: Ramesar
authors.forename: M D
authors.initials: MD
authors.lastname: Williams
authors.forename: D C
authors.initials: DC
authors.lastname: Howlett
mesh_terms: D008949:Adenoma, Pleomorphic / Q000150:complications* / Q000175:diagnosis*; D000369:Aged, 80 and over; D038524:Diffusion Magnetic Resonance Imaging; D055154:Dysphonia / Q000209:etiology*; D006801:Humans; D008297:Male; D012468:Salivary Gland Neoplasms / Q000150:complications* / Q000175:diagnosis*