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Oral Maxillofac Surg Clin North Am. 2017 Aug;29(3):325-340. doi: 10.1016/j.coms.2017.03.009.

Margins for Benign Salivary Gland Neoplasms of the Head and Neck.

Author information

1
Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, University of Tennessee Cancer Institute, 1930 Alcoa Highway, Suite 335, Knoxville, TN 37920, USA. Electronic address: ecarlson@mc.utmck.edu.
2
Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920, USA; Department of Pathology, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920, USA; Department of Radiology, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN 37920, USA.

Abstract

The proper ablation of any neoplasm of the head and neck requires the inclusion of linear and anatomic barrier margins surrounding the neoplasm. Extirpative surgery of the major and minor salivary glands is certainly no exception to this surgical principle. To this end, the selection and execution of the most appropriate ablative surgical procedure for a major or minor benign salivary gland neoplasm is an essential exercise in oral and maxillofacial surgery. Of equal importance is the intraoperative identification and preservation of the pseudocapsule surrounding the benign neoplasm. This article reviews these important elements specifically related to ablative surgery of benign neoplasms of the parotid, submandibular and minor salivary glands with strict attention to observed nomenclature.

KEYWORDS:

Anatomic barrier margin; Extracapsular dissection; Facial nerve; Linear margin; Partial superficial parotidectomy; Pseudocapsule; Superficial parotidectomy

PMID:
28709532
DOI:
10.1016/j.coms.2017.03.009
[Indexed for MEDLINE]

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