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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
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[Research progress in accessory parotid gland tumor surgery]
1Department of Oral and Maxillofacial Surgery, Qilu Hospital of Shandong University, Jinan 250012, China.
Summary
Surgery for accessory parotid gland (APG) tumors is common, but lacks a standard protocol. Minimally invasive techniques are emerging to address patient concerns regarding complications and aesthetics.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Head and Neck Surgery
Background:
- Lesions of the accessory parotid gland (APG) are uncommon in salivary gland disease, with tumors being the most frequent presentation.
- Conventional surgical treatment for APG tumors often leads to patient distress due to potential complications and aesthetic concerns.
- The midcheek location of the APG presents unique surgical challenges.
Purpose of the Study:
- To review current surgical techniques for accessory parotid gland (APG) tumors.
- To evaluate the benefits and drawbacks of various surgical approaches for APG tumors.
- To provide an outlook on emerging minimally invasive techniques, including endoscopically assisted surgery.
Main Methods:
- Literature review of surgical techniques for accessory parotid gland (APG) tumors.
- Analysis of existing data on surgical outcomes, complications, and aesthetic results.
- Examination of novel approaches like the transoral approach and endoscopic extracapsular dissection.
Main Results:
- Surgery remains the primary treatment for APG tumors, yet a standardized protocol is lacking.
- Conventional surgical methods can result in significant patient distress due to complications and aesthetic issues.
- Minimally invasive techniques, such as transoral and endoscopic approaches, are increasingly being developed to improve patient outcomes.
Conclusions:
- There is a need for standardized surgical protocols for accessory parotid gland (APG) tumors.
- Advancements in surgical technology are leading to more minimally invasive and aesthetically favorable treatment options.
- Endoscopically assisted resection shows promise for the future management of APG tumors.

