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Case report
Synchronous pleomorphic adenoma in the infratemporal fossa and contralateral submandibular gland and endoscopic removal
  1. Shahul Hameed Poondiyar Sirajuddin1 and
  2. Rayappa Chunnusamy2
  1. 1Ears Nose and Throat (ENT), East Surrey Hospital, Redhill, UK
  2. 2Department of ENT and Head and Neck Surgery, Apollo Specialty Cancer Hospital, Chennai, Tamil Nadu, India
  1. Correspondence to Shahul Hameed Poondiyar Sirajuddin; shahulentsurgeon{at}gmail.com

Abstract

The objective of this article is to elucidate on our experience with the first case reported in the literature of a synchronous presentation of pleomorphic adenoma (PA) in infratemporal fossa as well as the contralateral submandibular gland. PA most commonly arises from the major salivary glands but has also been reported to arise from minor salivary glands in unusual sites such as the nasal septum, main stem bronchus, trachea, lacrimal gland, external auditory canal, etc. However, it seldom involves the infratemporal fossa and extremely few cases are reported in the literature and coexistent contralateral synchronous PA is nowhere reported in literature. The infratemporal fossa tumour posed a diagnostic dilemma and therapeutic challenge because of its concealed location which we dealt successfully with endoscopic sublabial trans maxillary approach.

  • ear
  • nose and throat/otolaryngology
  • oral and maxillofacial surgery
  • head and neck surgery

https://doi.org/10.1136/bcr-2020-237775

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    Footnotes

    • Contributors SHPS (first author and corresponding author) was involved in planning, conduct, reporting, conception and design, acquisition of data, analysis and interpretation of data and in the writing of the paper. RC (senior consultant and coauthor) was involved in the clinical management of the patient and providing data and guidance in writing and formation of the paper.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.