A pleomorphic adenoma of the superficial lobe of the parotid gland is best managed by:

• A Simple enucleation of the tumor
• B Total parotidectomy with facial nerve sacrifice
• C Radiotherapy alone as first-line treatment
• D Superficial parotidectomy with facial nerve preservation ✓

Explanation

Superficial parotidectomy with facial nerve identification and preservation is the standard surgery for pleomorphic adenoma of the superficial lobe. Simple enucleation results in high recurrence rates (>20%) due to pseudopod extensions and capsular rupture. Facial nerve sacrifice is warranted only when the nerve is directly invaded by malignancy. Radiotherapy is adjuvant, not primary treatment for benign tumors.

Reference: Dhingra Diseases of Ear, Nose and Throat, 7th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.