title: Joint use of skull base surgery in a case of pediatric parotid gland carcinoma.
abstract: Parotid gland carcinoma is extremely rare in children. We report a case of pediatric parotid gland carcinoma with extensive infiltration into surrounding tissues including the skin and temporomandibular joint capsule at initial examination. Total resection of the parotid gland was conducted together with skull base surgery and mandibular dissection. The patient was a 14-year-old girl. In addition to the skin and temporomandibular joint, infiltration into the anterior wall of the external auditory meatus and masseter muscle was also seen, and T4N0M0 stage IV parotid carcinoma was diagnosed. Skin was resected together with the pinna, and temporal craniotomy and skull base surgery were performed to resect the temporomandibular joint capsule and external auditory meatus en bloc, and mandible dissection was conducted. Facial nerves were resected at the same time. Level I to level IV neck dissection was also conducted. A latissimus dorsi myocutaneous flap was used for reconstruction. The postoperative permanent pathology diagnosis was high-grade mucoepidermoid carcinoma with a low-grade component. Postoperatively, radiotherapy at 50 Gy alone has been conducted, with no recurrence or metastasis observed for over 4 years.
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan.
authors.forename: Yuri
authors.identifier: 0000-0001-8594-9909
authors.initials: Y
authors.lastname: Ueda
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan.
authors.forename: Kiyoaki
authors.initials: K
authors.lastname: Tsukahara
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan.
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Nakamura
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan.
authors.forename: Ray
authors.initials: R
authors.lastname: Motohashi
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan.
authors.forename: Minoru
authors.initials: M
authors.lastname: Endo
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan.
authors.forename: Hiroki
authors.initials: H
authors.lastname: Sato
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Tokyo Medical University Hachioji Medical Center, 1163 Tatemachi, Hachioji, Tokyo 193-0998, Japan.
authors.forename: Yasuaki
authors.initials: Y
authors.lastname: Katsube
authors.affiliation: Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishishinjyuku, Shinjyuku, Tokyo 160-0023, Japan.
authors.forename: Mamoru
authors.initials: M
authors.lastname: Suzuki