Airway Management in Case of Recurrence of Pleomorphic Adenoma of Right Submandibular Gland and Soft Palate

摘要

Objective: Pleomorphic adenoma is the most common type of all benign and malignant salivary gland tumours, involving more frequently the parotid gland. We present a case of a benign recurrent pleomorphic adenoma of the right submandibular gland and soft palate in a 42-year-old female without any signs of facial nerve involvement or damage. Methods: Case report. Findings: There was no evidence of the malignant transformation of the tumour confirmed on biopsy. It is 8x4cm oval in shape with diffuse border and was obstructing the upper airway and compression symptoms. The tumour was completely respected and reconstruction was done using pectoralis major myocutaneous (PMMC) flap. In this case, potential and predicted difficult airway is elaborated with excellent postoperative results. Applications/improvements: Though tumour of the submandibular gland is rare they require careful evaluation for the airway ventilation and intubation difficulties it poses.