Turkish Archives of Otorhinolaryngology (Jun 2007)

Our experience with parotid surgery

  • Alper Nabi Erkan,
  • Haluk Yavuz,
  • Cüneyt Yılmazer,
  • Can Alper Çağıcı,
  • Sündüs Aslan,
  • İsmail Yılmaz,
  • Fatma Çaylaklı,
  • Levent N. Özlüoğlu

DOI
https://doi.org/10.2399/tao.06.012
Journal volume & issue
Vol. 45, no. 2
pp. 91 – 99

Abstract

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Objectives: To evaluate parotidectomy cases with masses in the parotid gland and present our experience.Methods: Clinical records of 68 patients who underwent parotidectomy with a diagnosis of parotid mass at Baflkent University Hospital between January 2000 and December 2005 were retrospectively reviewed. All patients who were operated by parotidectomy due to neoplastic and non-neoplastic parotid gland diseases were included in the study. ENT examinations, the results of computed tomography and magnetic resonance imaging, fine needle aspiration biopsy and pathology were evaluated and discussed.Results: The age of the cases ranged between 12 months and 85 years (mean=52.4 years); 57 cases were operated on because of benign masses whereas 11 cases were operated on due to malign masses. The cases who were operated on because of benign masses were treated by superficial parotidectomy or total parotidectomy. Those operated on with diagnosis of malign masses were treated by superficial, total or radical parotidectomy according to the kind of pathology. The facial nerve was included in the specimen in cases with nerve invasion. For some cases neck dissection was performed if needed. As additional treatment radiotherapy, chemotheraphy, or chemoradiotherapy were performed. The patients’ follow up span ranged between two months and five years (mean=3.5 years). There were no recurrences among the cases operated for benign masses. Follow up examination of the three patients with malign masses of epidermoid carcinoma revealed that one had lung metastasis and other two had neck metastasis. There were no recurrences and no metastasis among the other malign cases.Conclusion: Our surgical approaches were appropriate in benign masses despite of short follow up period of theirs, and it has not been detected any recurrence until now. However, we thought that particularly approach to neck in malign tumors should have been done radical.

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