Parotidectomy: review of treatment and outcomes
Contribuinte(s) |
R. J. S. Thomas |
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Data(s) |
01/01/2004
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Resumo |
Background: Parotidectomy is a common surgical procedure performed for a wide array of benign and malignant tumours. The aim of the present study was to review a single-institution experience with parotidectomy over a 10 year period. Methods: We retrospectively reviewed 170 patients who had parotidectomy performed. The preoperative investigations, clinicopathological parameters, perioperative morbidity and mortality were assessed. Results: One hundred and six (62%) of the patients were men. The mean age was 54 years (range 21-80). Indications for parotidectomy included benign tumour (44%), malignant tumour (42%), inflammatory parotid disease (7%) and miscellaneous (5%). The most common benign tumour was pleomorphic adenoma (25%). The most common malignant tumour was metastatic cutaneous squamous cell carcinoma (SCC) (19%). Fine needle aspiration cytology was performed in 83% patients with a sensitivity and specificity for benign tumours of 76% and 97%, respectively. The sensitivity and specificity for malignant tumours was 90% and 99%, respectively. One (0.6%) patient died in the postoperative period. Postoperative complications included wound infection (2.3%), wound haematoma (3.5%) and seroma (6.6%). Six patients (3.5%) developed temporary complete facial paresis, while 33 patients (20%) developed temporary partial facial palsy in the immediate postoperative period. The 2-year disease-free and disease-specific survival for those patients with metastatic cutaneous SCC were 75% and 76%, respectively. Conclusions: The most common indications for parotidectomy were pleomorphic adenoma and metastatic cutaneous SCC. Our perioperative morbidity and survival for patients with malignant parotid disease compare favourably with other institutional series. |
Identificador | |
Idioma(s) |
eng |
Publicador |
Blackwell Publishing Asia |
Palavras-Chave | #Surgery #Metastatic Cutaneous Squamous Cell Carcinoma #Parotid Gland #Parotidectomy #Radiotherapy #Squamous-cell Carcinoma #Fine-needle Aspiration #Major Salivary-glands #Facial-nerve Function #Superficial Parotidectomy #Sternocleidomastoid Flap #Prognostic Factors #Skin #Cancer #C1 #321029 Surgery #730109 Surgical methods and procedures |
Tipo |
Journal Article |