Parotid tumors: experience of Otolaryngology Department at MSS Hospital in Warsaw
Journal Title: Otolaryngologia Polska - Year 2011, Vol 65, Issue 3
Abstract
SUMMARY The aim of the study: Tumors of the salivary glands represent about 3% of head and neck neoplasms. Most of theme — up to 80% originates from the parotid gland. The aim of the study is to present current epidemiological data, most frequent complains, histopathological diagnosis, complications rate and follow-up. Material and methods: Retrospective analysis of 211 patients, operated at our department from 01.2007 to 02.2011, was performed. We analyzed the age, sex, symptoms of the dissease, histopathological findings, compli-cations and follow-up. Ali of the patients had ultrasound examination prior to operation to estimate the spread and the type of the tumor. In doubtful cases the ultrasound-guided fine-needle aspiration for biopsy and cytology was performed. Results: The frequency of incidence of benign tumours was 87.2% and the most frequent histopathological diagnosis was pleomorphic adenoma (43.6%) and adenolymphoma (36%). By 9.5% of our patients malignant neoplasms were developed and tumours of non-neoplastic origin by 3,3% of theme. The most frequent complication was sensory deficit about the cheek and ear (55%), temporary facial nerve paresis (5%), salivary fistuła (2%) and hematoma (1%) Permanent facial nerve paralysis (3%) developed in some cases of malignant neoplasms. Conclusion: Superficial and total parotidectomy are safe procedures of treatment in case of salivary gland tumors. Using the microscope during parotidectomy is extremely useful in order to preserve the continuity of the facial nerve branches.
Authors and Affiliations
Mirosława Pietniczka-Załęska, Justyna Dąbrowska- Bień
Keywords
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