Minor intraoral tumours of the salivary glands are relatively uncommon. Most are histologically low grade and display no aggressive clinical features such as bony invasion or regional metastases. The aim of this study was to investigate retrospectively a bone-sparing approach to resection of low grade mucoepidermoid carcinoma of the hard palate in 18 patients. Only one had radiographic evidence of bony invasion and was treated by composite resection of the hard palate. Sixteen patients were treated by wide local excision with 1 cm margins of soft tissue using the periosteum of the hard palate as the deep margin. The mean (SD) follow-up time was 44 months, (range 2–140). Among patients who had only soft tissue resection the histological margins were clear in 11 patients, and 5 had close or invaded margins that were all localised to the deep margin. There were no local recurrences during the follow-up period. We suggest that a bone-sparing approach to such tumours gives adequate local control, and composite resections should be reserved for tumours that have obviously invaded the hard palate.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to British Journal of Oral and Maxillofacial Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Intra-oral minor salivary gland tumors: a clinicopathological study of 546 cases.Oral Oncol. 2007; 43: 463-470
- Intraoral minor salivary gland neoplasms: review of 213 cases.J Oral Maxillofac Surg. 2005; 63: 805-810
- Rim versus sagittal mandibulectomy for the treatment of squamous cell carcinoma: two types of mandibular preservation.Head Neck. 2003; 25: 982-989
- Evidence for imaging the mandible in the management of oral squamous cell carcinoma: a review.Br J Oral Maxillofac Surg. 2001; 39: 411-418
- Meta-analysis of the literature on 1946 cases of minor salivary gland tumors of the palate.Acta Odontol Latinoam. 2007; 20: 23-31
- Prognostic factors in head and neck mucoepidermoid carcinoma.Arch Otolaryngol Head Neck Surg. 2004; 130: 174-180
- Mucoepidermoid carcinoma of minor salivary glands: report of 17 cases with follow-up.J Oral Surg. 1972; 30: 107-112
- Mucoepidermoid tumors of the intraoral minor salivary glands: a clinicopathologic study of 54 cases.J Oral Pathol. 1973; 2: 314-325
- Mucoepidermoid carcinoma of the oral cavity.Arch Otolaryngol Head Neck Surg. 1981; 89: 783-791
- Treatment and prognosis of mucoepidermoid carcinoma in the pediatric age group.Arch Otolaryngol. 1985; 111: 322-324
- Paediatric mucoepidermoid carcinoma of the palate.Int J Oral Maxillofac Surg. 2002; 31: 136-139
- Mucoepidermoid carcinoma of the minor salivary glands: a clinical study of 16 cases and review of the literature.Oral Dis. 2006; 12: 364-370
- Mucoepidermoid carcinoma of the major salivary glands: clinical and histologic analysis of 234 cases with evalution of grading criteria.Cancer. 1998; 82: 1217-1224
- Ellis G. Auclair P. Gnepp D.R. Surgical pathology of the salivary glands. WB Saunders, Philadelphia1991
Published online: March 26, 2012
Accepted: January 13, 2012
© 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.