title: [Surgery of pleomorphic adenoma of the parotid gland].
abstract: BACKGROUND
  Pleomorphic adenoma is the most common benign tumor of the parotid gland. It has a tendency of recurrence and malignant transformation. The surgical excision of this lesion continues to be the subject of a major debate. In this study, we discuss optimal surgical options for pleomorphic adenoma.
  
  
  METHODS
  We reviewed clinical records of 82 patients who underwent surgery.
  
  
  RESULTS
  The tumor was localized in the superficial lobe in 81.7% of cases. Tumors of the deep lobe were removed by total parotidectomy. Those of the superficial lobe underwent partial exofacial parotidectomy (7 cases), exofacial parotidectomy (44 cases), or total parotidectomy (16 cases). Transitory facial paralysis was higher after total parotidectomy. Only one patient developed a recurrence, his tumor showed capsule infiltration.
  
  
  CONCLUSIONS
  Conventional or partial superficial parotidectomy may be a good compromise with fewer complications and low incidence of recurrence.
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Habib Bourguiba, faculté de médecine de Sfax, route d'El Aïn, Km 0,5, 3029 Sfax, Tunisie. Electronic address: imenachour2@gmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Achour
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Habib Bourguiba, faculté de médecine de Sfax, route d'El Aïn, Km 0,5, 3029 Sfax, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Chakroun
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Habib Bourguiba, faculté de médecine de Sfax, route d'El Aïn, Km 0,5, 3029 Sfax, Tunisie.
authors.forename: Z
authors.initials: Z
authors.lastname: Ben Rhaiem
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Habib Bourguiba, faculté de médecine de Sfax, route d'El Aïn, Km 0,5, 3029 Sfax, Tunisie.
authors.forename: I
authors.initials: I
authors.lastname: Charfeddine
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Habib Bourguiba, faculté de médecine de Sfax, route d'El Aïn, Km 0,5, 3029 Sfax, Tunisie.
authors.forename: B
authors.initials: B
authors.lastname: Hammami
authors.affiliation: Service d'ORL et de chirurgie cervico-faciale, CHU Habib Bourguiba, faculté de médecine de Sfax, route d'El Aïn, Km 0,5, 3029 Sfax, Tunisie.
authors.forename: A
authors.initials: A
authors.lastname: Ghorbel
mesh_terms: D008949:Adenoma, Pleomorphic / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005158:Facial Paralysis / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D010307:Parotid Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D055815:Young Adult
keywords: Adenoma; Adénome pléomorphe; Facial paralysis; Glande parotide; Neoplasm recurrence; Paralysie faciale; Parotid gland; Pleomorphic; Récidive tumorale