Abstract
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.
Keywords
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Article info
Publication history
Published online: March 26, 2012
Accepted:
January 13,
2012
Identification
Copyright
© 2012 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
