Pleomorphic adenoma (PA) mostly involves parotid glands, while extra-parotid localizations are relatively uncommon. Particularly, PAs of the cheek minor salivary glands with a size larger than 4 cm are exceedingly rare, with only few cases reported. Surgical treatment of PA usually consists in radical excision. However, despite a presumptive radicality, recurrences, sometimes followed by malignant transformation, may occur. Here we report a case of a large-sized (6 cm) PA of the cheek minor salivary glands in a 70 year-old female patient, successfully treated through a conservative approach, based on the use of Nd:YAG Laser (λ=1064 nm). No recurrences were observed after a 2-year follow-up. A concise review of the literature, describing the features of 14 cases is also provided. Advantages of laser treatment include a precise cut, reduction of trauma on surrounding tissues, the possibility of a very good intraoperative hemostasis. Such features may sometimes allow to avoid general anesthesia, even for removal of big lesions. Post-operative course, in terms of pain and swelling, is usually better for intervention performed with laser, when compared to traditional surgery.
Large-sized pleomorphic adenoma of the cheek treated with Nd:Yag laser: Report of a case and review of the literature / Veneri, F.; Meleti, M.; Corcione, L.; Bardellini, E.; Majorana, A.; Vescovi, P.. - In: JOURNAL OF CLINICAL AND EXPERIMENTAL DENTISTRY. - ISSN 1989-5488. - 12:9(2020), pp. e883-e887. [10.4317/jced.56274]
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