Abstract
This article reports the surgical resection of clinically benign tumours in the maxillomandibular
deep lobe of the parotid gland via sternocleidomastoid muscle–parotid space (SPS)
approach. The use of maxillary–mandibular planes to subdivide the deep lobe of the
parotid gland in order to establish the tumour location and accessibility is introduced.
This approach, which does not raise a skin flap, may preserve the superficial lobe.
Ten patients with clinically benign tumours in the maxillomandibular deep lobe of
the parotid gland were treated via the SPS approach. The patients were followed up
for 3–5 years and the surgical outcomes were analysed. All tumours were completely
enucleated via the SPS approach with an optimal aesthetic outcome. No permanent facial
weakness or tumour recurrence was identified during the 3–5 years of follow-up. The
SPS approach to surgical resection is an ideal option for clinically benign tumours
in the maxillomandibular deep lobe of the parotid gland and demonstrates good results.
Key words
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Article info
Publication history
Published online: January 16, 2021
Accepted:
November 5,
2020
Identification
Copyright
© 2020 Published by Elsevier Ltd on behalf of International Association of Oral and Maxillofacial Surgeons.
