2014, Number 2
Parotidectomy: Bibliographic Review and Analysis of Our Results in the Last Six Years
Vázquez-Muñoz MI, Elhendi-Halawa W, Caravaca-García A, Ruiz-Fito R, Rodríguez-Contreras D, Ruiz-Mondejar A
Language: Spanish
References: 11
Page: 126-132
PDF size: 319.34 Kb.
ABSTRACT
Background: Parotid tumors constitute 90% of salivary gland tumors, being mostly benign. The treatment of choice of these tumors is surgery, covering techniques such as partial tumor enucleation or superficial parotidectomy, to total parotidectomy. communicate our results obtained during the last six years.Patients and method: An statistic, descriptive, restrospective study of 47 patients submitted to parotidectomy at Otorhynolaryngology Service of Hospital Punta de Europa, Algeciras, España, was done from 2007 to 2012. The descriptive study was of frequencies and cross tables among several variables.
Results: Forty-seven patients were submitted to parotidectomy from 2007 to 2012 (68% men). In 66% of cases tumor affected left parotid gland; in 61.7% tumor was located at parotid tale. Fine needle aspiration puncture was made in 55% of patients, with results coincident to the anatomopathological study in 21.3%. The most frequent complications found in our study were temporary facial paralysis and Frey syndrome (23.4% and 10.6%, respectively); other complications such as seromas, hematomas and necrosis of flap were lesser frequent. In 53% of patients there were not short-term complications.
Conclusions: With retroauricular hairline incision there were more cases of seromas than with classical incision (67% vs 33%, respectively), but lower incidence of facial paralysis (18% vs 64%) and Frey’s syndrome (0% vs 100%).
REFERENCES
García-Roco Pérez O. Tumores de las glándulas salivares. Su comportamiento en 10 años de trabajo. Rev Cubana Estomatol 2003;40. Figura 2. Imagen intraoperatoria de parotidectomía superficial. Obsérvese la accesibilidad a la glándula parótida que permite la incisión tipo ritidectomía. Figura 3. Resultados estéticos de la incisión tipo ritidectomía. Anales de Otorrinolaringología Mexicana 132 Volumen 59, Núm. 2, marzo-mayo 2014