%0 Journal Article
%T Obstructive Tumor of the Palate in the Old Person: A Case Report
%A Silly Toure
%A Mouhamadou Makhtar Ndiaye
%A Abibou Ndiaye
%A Mamadou Coume
%A Mame Sanou Diouf
%A Baye Karim Diallo
%J Open Journal of Stomatology
%P 199-205
%@ 2160-8717
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojst.2024.145016
%X <b>Introduction:</b> 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. <b>Observation</b><b>:</b> 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. <b>Conclusion:</b> Large pleomorphic adenoma of the posterior palate is a rare entity that can cause respiratory problems and surgical difficulties. His prognosis is generally good.
%K Pleomorphic Adenoma
%K Posterior Palate
%K Respiratory Disorders
%K Prognosis
%K Obturator Plaque
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=133074