A Retrospective Study on Clinico-Pathological Presentations and Complications of Parotidectomy
Main Article Content
Abstract
Introduction
Salivary gland tumors are rarely seen. It constitutes approximately 3% of all head-neck tumors. 75-80% of these tumors originate from the parotid gland. In this study, 98 patients who underwent parotidectomy in a tertiary otorhinolaryngology clinic were analyzed retrospectively, the frequency of different pathologies and our treatment modalities for parotid masses are presented in the light of current literature.
Materials and Methods
In this study, 98 patients who underwent parotidectomy in our clinic between 2011 and 2018 were retrospectively analyzed, the frequency of different pathologies, our treatment approach, and complications of treatment for parotid masses are presented in the light of current literature.
Results
The mean age was 48 years (between the range of 7-82 years). 41 cases were female and 57 cases were male. In the results of FNAB, there were 65 (66%) benign cases, 28 (29%) malignancy suspects and 5 (5%) malignant cases, 68 (69%) benign cases, and 30 (31%) malignant cases in surgical pathologies. The most frequent lesion of all parotid masses was pleomorphic adenoma (24%). The most common benign lesion was pleomorphic adenoma (35%) and the most frequent malignant tumor was mucoepidermoid carcinoma (27%). The most common surgery type was superficial parotidectomy (82 cases). The most common complication was marginal mandibular nerve paresis (6).
Conclusion
The treatment modality of the parotid tumors varies from case to case according to the nature of the tumor and extension.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
References
Eveson JW, Cawson RA. Salivary gland tumors. A review of 2410 cases with particular reference to histological types, site age and sex distribution. J Pathology 1985;146:51-8
Spiro RH. Salivary neoplasms: overview of a 35 year experience with 2807 patients. Head Neck Surg. 1986;8:177-84
Przewozny T, Stankiewicz C. Neoplasms of the parotid gland in northern Poland, 1991-2000: an epidemiologic study. Eur Arch Otorhinolaringol. 2004;261:369-75
Nagler RM, Laufer D. Tumors of the major and minor salivary glands: review of 25 years of experience. Anticancer Res. 1997;17:701-7
Pinkston JA, Cole P. Incidence rates of salivary gland tumors: results from a population-based study. Otolaryngol Head Neck Surg. 1999;120:834-40
Pires FR, Almeida OP, de Araujo VC, Kowalski LP. Prognostic factors in head and neck mucoepidermoid carcinoma. Arch Otolaryngol Head Neck Surg. 2004;130:174-80
Lim YC, Lee SY, Kim K, Lee JS, Koo BS, Shin HA, et al. Conservative parotidectomy for the treatment of parotid cancers. Oral Oncol. 2005;41:1021-7
Ali NS, Akhtar S, Junaid M, Awan S, Aftab K. Diagnostic Accuracy of Fine Needle Aspiration Cytology in Parotid Lesions. ISRN Surgery 2011;2011:721525
Guerra G, Testa D, Montagnani S, Tafuri D, Salzano FA, Rocca A, et al. Surgical management of pleomorphic adenoma of parotid gland in elderly patients: role of morphological features. Int J Surg. 2014;12 Suppl 2:12-16
Takahama Junior A, Almeida OP, Kowalski LP. Parotid neoplasms: analysis of 600 patients attended at a single institution. Braz J Otorhinolaryngol. 2009;75(4):497-501
Erkan AN, Yılmazer C, Çağrıcı CA, Aslan S, Yılmaz İ, Çaylaklı F et al. Our Experience in Parotid Surgery [Article in Turkish]. Turk Arch Otolaryngol. 2007;45:91-9
Comoglu S, Ozturk E, Celik M, Avci H, Sonmez S, Basaran B, et al. Comprehensive analysis of parotid mass: A retrospective study of 369 cases. Auris Nasus Larynx 2018; 45(2): 320-7
Hanna EY, Suen JY. Neoplasm of the salivary glands. In Cummings CW, editor. Otolaryngology/head and neck surgery, 3rd ed. St.Louis:Mosby; 1998; 1255-99
Ito FA, Ito K, Vargas PA, Almeida OP, Lopes MA. Salivary gland tumors in a Brazilian population: a retrospective study of 496 cases. Int J Oral Maxillofac Surg. 2005; 34:533-6
Kelley DJ, Spiro RH. Management of the neck in parotid carcinoma. Am J Surg. 1996; 172(6): 695-7
Croce A, D'Agostino L, Moretti A, Augurio A. Parotid surgery in patients over seventy-five years old. Acta Otorhinolaryngol Ital. 2008; 28(5):231-8
Maahs GS, Oppermann Pde O, Maahs LG, Machado Filho G, Ronchi AD. Parotid gland tumors: a retrospective study of 154 patients. Braz J Otorhinolaryngol. 2015;81(3):301-6
Hoşal Ş, Özyar E, Sungur A, Altundağ MK. Salivary Gland Cancers [Chapter in Turkish]. Editors: Kayıhan E, Erişen L. Head- Neck Cancers. 1. Baskı. İstanbul: Nobel Tıp Kitabevi; 2003: 411-35
Korkut N. Salivary gland surgery [Article in Turkish]. Türkiye Klinikleri J ENT. 2007;3:49-56
Öztürk K, Göde S, Gürsan G, Kirazlı T. Is it possible to predict postoperative facial nerve function by monitorization during parotidectomy. Kulak Burun Bogaz Ihtis Derg. 2015; 25(1):28-31
Topak M, Çelebi Ş, Develioğlu ON. Parotis kitlelerinde tanı ve tedavi sonuçlarımız. Selçuk Tıp Derg. 2013; 29:64-7.