Akademik Veri Yönetim Sistemi
Turkish Association Of Oral and Maxillofacial Surgery 28th INTERNATIONAL SCIENTIFIC CONGRESS, Antalya, Türkiye, 14 - 18 Kasım 2021
Introduction: Pleomorphic adenoma is the most common salivary gland tumor. It is frequently localized in the major salivary glands and 5% may originate from the minor salivary glands. Pleomorphic adenoma is most commonly located on the palate, following the buccal mucosa and upper lip in the oral cavity.
Case Presentation: A 43-year-old female patient was admitted to our clinic with the complaint of a hard and painless swelling in the posterior region of the right maxilla that makes it hard to chew. In the clinical examination, a 2x3 cm fibrotic,non-pedicle lesion was observed located on the hard palate.On the 3D radiographic examination, slight expansion of the palatal bone was observed.Biopsy was taken from the region for definitive diagnosis. As a result of the biopsy, it was determined that the lesion was a pleomorphic adenoma originating from the minor salivary glands located in the palatal region. Under general anesthesia, the lesion was excised with a 2 mm solid margin, including the periosteum. For the reconstruction of the region, the musculomucosal flap was elevated from the buccal tissue and fixed to the palatal region. After making sure that the flap was fed in the postoperative 3rd week control, the fibrotic band between the palatal region and the cheek was cut and the revision was completed in the region. The patient's follow-up continues.
Conclusion: Pleomorphic adenoma is a benign tumor originating from the salivary glands. Recurrence is possible after excision. Therefore, the follow-up of the patients after excision should be done without interruption.