Pleomorphic Adenoma of the Palate: A Rare Case in an Adolescent With Cleft lip and Palate

Abstract

Benign salivary gland tumors are rarely found in children and adolescents compared with adults. Pleomorphic adenomas (PAs), the most common benign salivary gland tumor, account for only 1% of all head and neck lesions and fewer than 5% of all salivary gland tumors in individuals under the age of 16 years. The data on palatal PA in the first 2 decades of life is confined to published case reports and case series. To date, there has never been a report of palatal PA in a patient with cleft lip and palate. Here we describe an adolescent female with bilateral cleft lip and palate with PA of the hard and soft palate who underwent wide local excision and reconstruction with a buccal fat pad and buccal myo-mucosal flap.

Reconstruction with facial artery musculo-mucosal flap (FAMM.F) after resection of upper lip pleomorphic adenoma: Case report

“…PA has been known to be the most common neoplasm of salivary gland origin constituting 61 % of major gland tumors and 54 % of minor gland tumors [ 7 ]. The most common site for intraoral PA is the palate, followed by buccal region and upper lip [ 8 ].…”

Novel Technique for the Surgical Management of Pleomorphic Adenoma of the Upper Lip

“…It most commonly occurs in the parotid gland (84%) followed by the submandibular gland (8%) and minor salivary glands (6.5%). Intra-orally, it can occur in the palate, buccal mucosa, retromolar area, upper lip, and floor of the mouth, with the palate (both the hard and soft palate) being the most common site of occurrence [2]. Although it can affect both genders and occur in any age group, it is more common in females than in males (2:1) and occurs more frequently in the third to sixth decades of life [3].…”