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The optimal surgical approach for extended parapharyngeal pleomorphic adenomas of the parotid gland is still controversial, also in relation to the possible complications of this type of surgery. We report our experience on 5 patients treated in the last 4 years with the “extracapsular dissection-endocapsular decompression” surgical approach for parotid deep lobe extended adenomas. The surgical details are described. No complication in terms of temporary/permanent facial paralysis, sialocele or Frey’s syndrome was noticed. No adenoma recurrence was recorded. Further trials with long-term follow-up should be performed to confirm these findings and definitely demonstrate the efficacy of this method to prevent recurrences.

journal of otolaryngology and rhinology

Extracapsular Dissection-Endocapsular Decompression: An Easy Method to Avoid Facial Nerve Injury in Surgery for Extended Parapharyngeal Adenomas of the Parotid Gland