A STUDY OF BENIGN TUMOURS OF THE PAROTID GLAND
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 41
Abstract
BACKGROUND The Salivary glands are located around the mouth. They produce saliva, which moistens food to help chewing and swallowing. There are three pairs of major Salivary Glands. The largest are the Parotid Glands and are located in each cheek over the jaw in front of the ears. The Parotid Gland is the most common site for Salivary Gland tumours. To determine the incidence, risk factors, clinical presentation and management of benign tumours of parotid gland. MATERIALS AND METHODS The study group consisted of 25 patients aged between 18 to 68 years coming to Department of E.N.T. at Government ENT Hospital & Osmania Medical College from September 2015 to September 2017. All patients had relevant investigation reports like FNAC, USG and CT scans. Superficial Parotidectomy was performed if the tumour was in superficial lobe and deep lobe Parotidectomy if the tumour was in deep lobe. Patients having FNAC Suggestive of Malignant Tumour, Facial Palsy and Tumour more than 6 cms were excluded from the study. RESULTS Age Incidence of Parotid Tumour was 38.4 Years in which 16 were Female and 9 were Males. Right Side Tumours were 15 (60%) and left 10 (40%), the Symptom duration was 1-5 Years, deep lobe involvement was seen in 8 patients (12%). 21 Patients (84%) were found with superficial lobe involvement, most common Surgery performed was superficial Parotidectomy and Temporary Facial Palsy was observed in 2 Patients. Pleomorphic adenoma was the most common Tumour found on Histopathological Examination. CONCLUSION Most of the benign tumours exhibit a slow growth pattern. FNAC is a good tool in diagnosis of benign parotid gland tumours. Surgery is the main stay of treatment of benign parotid tumours and superficial parotidectomy is the most commonly performed surgery. Total Parotidectomy is needed for benign tumours with deep lobe involvement. The main complications of surgery were haematoma, wound infection, facial nerve palsy (temporary).
Authors and Affiliations
Manish Kumar, Nagaraj K, Shanker T. , Sampath Kumar Singh, Uma Maheshwari
Keywords
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- EP ID EP575933
- DOI 10.18410/jebmh/2018/589
- Views 75
- Downloads 0
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