Obstructive Tumor of the Palate in the Old Person: A Case Report
Obstructive Tumor of the Palate in the Old Person: A Case Report作者机构：Maxillofacial Surgery and Stomatology Department Aristide Le Dantec University Hospital of Dakar Dakar Senegal Geriatrics Department Aristide Le Dantec University Hospital of Dakar Dakar Senegal ENT and Head and Neck Surgery Department FANN University Hospital of Dakar Dakar Senegal
出 版 物：《Open Journal of Stomatology》 (口腔学期刊（英文）)
年 卷 期：2024年第14卷第5期
页 面：199-205页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Pleomorphic Adenoma Posterior Palate Respiratory Disorders Prognosis Obturator Plaque
摘 要：Introduction: Pleomorphic adenoma or mixed salivary gland tumor is a heterogeneous benign tumor of the salivary glands. The most common site is the parotid gland. Its extra-parotid locations, particularly in the accessory salivary glands, are rarer. We report a case of a pleomorphic adenoma of the posterior palate which posed management problems. Observation: This is an 85-year-old patient who consulted for a tumor of the posterior palate that had been evolving for 3 years. The examination revealed a globular tumor of the posterior palate extending beyond the midline by approximately 7 cm in long axis, shooting towards the oropharynx and hindering breathing, speech and eating, indicating a life-saving tracheotomy. A CT scan of the facial area revealed a well-circumscribed tumor at the expense of the soft palate, with multiple sites of bone lysis. The biopsy performed was in favor of a pleomorphic adenoma. The patient underwent total surgical excision of a huge tumor on the palate. The aftermath of the operation was marked by a loosening of the sutures with an oronasal fistula requiring the creation of an obturator plate due to the patient’s refusal to have another operation. Conclusion: Large pleomorphic adenoma of the posterior palate is a rare entity that can cause respiratory problems and surgical difficulties. His prognosis is generally good.
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