Zusammenfassung
Hintergrund: Die laterale Parotidektomie stellt das Standardverfahren in der Behandlung von pleomorphen Adenomen des lateralen Anteils der Glandula parotis an den meisten Zentren dar. Aktuell werden Methoden wie extrakapsuläre Dissektion und partiell laterale Parotidektomie alternativ diskutiert und von zahlreichen Autoren favorisiert. Kasuistik: Wir berichten von einem 20-jährigen Patienten mit einem unilateralen, primär multilokulären pleomorphen Adenom der Ohrspeicheldrüse, welches präoperativ als einzelner Knoten imponierte. Schlussfolgerung: Anhand des Falles gehen wir auf die verschiedenen Verfahren in der Therapie von pleomorphen Adenomen der Glandula parotis ein. Wir arbeiten heraus, weshalb die laterale oder sogar totale Parotidektomie in der Behandlung eines solitär palpablen pleomorphen Adenoms gerechtfertigt ist und das Standardverfahren in der Therapie von pleomorphen Adenomen der lateralen Ohrspeicheldrüse darzustellen hat.
Abstract
Background: Classical lateral parotidectomy is the standard surgical procedure for the management of lateral lobe parotid pleomorphic adenomas in most clinical centres. Extracapsular dissection and subtotal lateral parotidectomy are alternatively discussed in current literature and preferred by many authors. Case: We report on a 20-year-old patient with multiple primary pleomorphic adenomas in the unilateral parotid gland, which preoperatively presented as a solitary tumour node. Conclusion: Considering this case we focus on the distinctive surgical procedures for the management of parotid pleomorphic adenomas. We work out, why lateral or even total parotidectomy are justified in the treatment of solitary palpable tumours and why we account lateral parotidectomy as the standard surgical procedure for the management of lateral lobe parotid pleomorphic adenomas.
Schlüsselwörter
multilokuläres pleomorphes Adenom - Parotidektomie - extrakapsuläre Dissektion - Enukleation
Key words
multiple parotid pleomorphic adenomas - parotidectomy - extracapsular dissection - enucleation
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Dr. med. Victor Helmstaedter
Klinik und Poliklinik für Hals-Nasen-Ohrenkrankheiten der Universität zu Köln
Kerpener Straße 62
50924 Köln
Email: victor.helmstaedter@uni-koeln.de
