Surgery in benign parotid tumors: individually adapted or standardized radical interventions?

Laryngo- rhino- otologie
E RehbergO Kleinsasser

Abstract

Several authors demand emphatically that the minimal operative procedure in benign parotid gland tumors has to be a superficial parotidectomy. Of a consecutive series of 372 patients with benign parotid tumors treated in our department between 1973-1996 81% of the patients could be followed up 1-24 years. in 10.9% a total parotidectomy was performed, in 16% a lateral parotidectomy and in 73.1% a simple extirpation of the tumor (often taking away a small margin of surrounding parotid parenchyma). The operating microscope and microsurgical techniques were used in all of these operations. Of all the followed-up patients 2.3% developed a recurrence. There were no recurrences of cystadenolymphomas or of rare types of adenomas. Recurrences of primary treated pleomorphic adenomas occurred in 3.0%. In recurrent pleomorphic adenomas a further recurrence could be seen in 7.4% of the cases. The over-all incidence of permanent facial nerve weakness was 2.1%: 0.7% after extirpation, 3.3% after lateral parotidectomy and 9.7% after total parotidectomy. we observed in 6.3% a gustatory sweating. Our data prove that with simple extirpation similar results compared to lateral parotidectomy can be achieved concerning recurrence, function of the fa...Continue Reading

Citations

Sep 17, 2002·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Alberto Garcia-PerlaAlvaro Garcia-Perla
Mar 15, 2015·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Hosam Abd El-Kader El FolWaleed Ali Al Zaqri
Apr 7, 2007·Journal of Computer Assisted Tomography·Hasan YerliTolga Kaskati
May 3, 2012·The Laryngoscope·Raphael Richard CiumanPhilipp Dost
May 15, 2012·Head & Neck·Heinrich IroNils Klintworth
Jul 22, 2014·The Laryngoscope·Konstantinos MantsopoulosHeinrich Iro

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