Midcheek mass: 10 year of clinical experience.
This is a literature review and retrospective chart review of ten years experience on the treatment of midcheek masses in our department. The purpose of this study is to provide the reader with an overview of the pathology of this complex anatomic area focusing the attention on the differential diagnosis and the recent surgical strategies. From May 2002 to December 2012 we enrolled 22 consecutive patients studied for masses located in the midcheek area. Only four studies were found in the literature describing the experience of individual centres reporting few cases of midcheek masses. Combined with the previously reported 37 cases, we describe 22 lesions for a total of 59 cases. Patients were evaluated with a head and neck clinical and instrumental examination. Apart from 4 cases treated with intramuscular infiltration of botulinum toxin for masseter hypertrophy, surgical approach to the lesions was varied: 10 patients received an external approach (standard parotidectomy approach or face-lift-type approach); 6 patients had the lesion removed through an intraoral approach; in 2 cases a direct skin incision was performed. In our series we found a significant rate (55.5%) of temporary complications in all the procedures performed (external, intraoral, direct skin approach). This study aims to emphasize the role of endoscope assisted surgery as a possible alternative to the traditional approaches for the management of well selected benign midcheek masses. It would be advisable to increase the study of the endoscopic anatomy of the midcheek area in order to standardize the procedure and better define the surgical indications.
Department of Maxillofacial Surgery, University of Naples "Federico II", Naples, Italy. Electronic address: giovanni.dellaversanaorabona@unina.it.
Giovanni
G
Dell' Aversana Orabona
Department of Maxillofacial Surgery, University of Naples "Federico II", Naples, Italy. Electronic address: abbate.maxfacc@gmail.com.
Vincenzo
V
Abbate
Department of Otorhinolaryngology, University of Naples "SUN", Naples, Italy.
Pasquale
P
Piombino
Department of Neurosurgery, University of Salerno, Salerno, Italy.
Giorgio
G
Iaconetta
Department of Maxillofacial Surgery, University of Naples "Federico II", Naples, Italy.
Luigi
L
Califano
D000293:Adolescent; D000328:Adult; D000368:Aged; D044963:Biopsy, Fine-Needle / Q000379:methods; D002610:Cheek / Q000601:surgery*; D002648:Child; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging / Q000379:methods; D019723:Endoscopes; D005145:Face / Q000601:surgery*; D005153:Facial Neoplasms / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications; D012189:Retrospective Studies; D012466:Salivary Gland Diseases / Q000175:diagnosis / Q000601:surgery; D054079:Vascular Malformations / Q000175:diagnosis / Q000601:surgery; D055815:Young Adult
Accessory parotid gland; Endoscopic approach; Midcheek mass; Minimally invasive approach; Vascular malformations