구개부에 발생한 다형성선종의 트랩도어 수술법에 대한 증례보고

Trapdoor Approach for Removal of the Pleomorphic Adenoma in the Palate: Case Report

  • 이은영 (충북대학교 의과대학 구강악안면외과학교실, 의학연구소) ;
  • 김경원 (충북대학교 의과대학 구강악안면외과학교실, 의학연구소)
  • Lee, Eun-Young (Department of Oral and Maxillofacial Surgery, College of Medicine and Medical Research Institute, Chungbuk National University) ;
  • Kim, Kyoung-Won (Department of Oral and Maxillofacial Surgery, College of Medicine and Medical Research Institute, Chungbuk National University)
  • 투고 : 2011.07.11
  • 심사 : 2011.08.22
  • 발행 : 2011.11.30

초록

A 27-year-old female presented to our hospital with a slow growing, hard and soft palate mass on the right that had been present for the several months. Physical examination showed a 2 cm, firm, well-circumscribed, painless mass on the right side of the palate. PNS computer tomographic imaging showed a $1.5{\times}1.3{\times}2$ cm well-defined cystic mass on the right side of both the hard and soft palate without any underlying bone change. The lesion was completely excised under general anesthesia. In order to preserve the palatal mucosa, trapdoor approach for removal of the pleomorphic adenoma was done. This technique provided more comfortable healing of the operative site. Three years after surgery, there was no evidence of recurrence. If pleomorphic adenoma without bony and mucosal destruction exists, we suggest consideration of the trapdoor approach to protect the palatal mucosa. In view of the potential for tumour recurrence, long-term follow-up and careful examination are necessary.

키워드

참고문헌

  1. Pontius AT, Myers LL. Pleomorphic adenoma of the buccal space. Otolaryngol Head Neck Surg 2002;126:695-6. https://doi.org/10.1067/mhn.2002.125113
  2. Lopes MA, Kowalski LP, da Cunha Santos G, Paes de Almeida O. A clinicopathologic study of 196 intraoral minor salivary gland tumours. J Oral Pathol Med 1999;28:264-7.
  3. Lee SC, Kim YG, Ryu DM, et al. Pleomorphic adenoma which occurred buccal mucosa and submandibular gland; two case reports. J Korean Assoc Maxillaofac Plast Surg 1993;15:93-8.
  4. Laccourreye H, Laccourreye O, Cauchois R, Jouffre V, Menard M, Brasnu D. Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25-year experience with 229 patients. Laryngoscope 1994;104:1487-94.
  5. Eneroth CM. Salivary gland tumors in the parotid gland, submandibular gland, and the palate region. Cancer 1971;27:1415-8. https://doi.org/10.1002/1097-0142(197106)27:6<1415::AID-CNCR2820270622>3.0.CO;2-X
  6. Gorlin RJ, Goldman HM. Thomas's oral pathology. 6th ed. St. Louis: C.V. Mosby; 1970. p.968.
  7. Lee SC, Kim YK. Oral and Maxillofacial Oncology. Seoul: Jisung; 1993. p.165.
  8. Austin JR, Crockett DM. Pleomorphic adenoma of the palate in a child. Head Neck 1992;14:58-61. https://doi.org/10.1002/hed.2880140113
  9. Lee JH, Bae JS. Pleomorphic adenoma of the buccal mucosa in a 13-year-old boy. J Korean Assoc Maxillofac Plast Reconstr Surg 1991;13:450-5.
  10. Chaudhry AP, Vickers RA, Gorlin RJ. Intraoral minor salivary gland tumors. An analysis of 1,414 cases. Oral Surg Oral Med Oral Pathol 1961;14:1194-226. https://doi.org/10.1016/0030-4220(61)90209-2
  11. Kim DY, Choi KS. Pleomorphic adenoma of the palate. J Korean Assoc Oral and Maxillofac Radio 1995;25:561-7.
  12. Hancock BD. Pleomorphic adenomas of the parotid: removal without rupture. Ann R Coll Surg Engl 1987;69:293-5.
  13. Chang EZ, Lee WC. Surgical treatment of pleomorphic adenoma of the parotid gland: report of 110 cases. J Oral Maxillofac Surg 1985;43:680-2. https://doi.org/10.1016/0278-2391(85)90193-4
  14. Maynard JD. Management of pleomorphic adenoma of the parotid. Br J Surg 1988;75:305-8. https://doi.org/10.1002/bjs.1800750403