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Original Paper

Comparing Modified with Conventional Parotidectomy for Benign Parotid Tumors

Gao L.a, b · Ren W.a, b · Li S.a · Yan X.c · Li F.a · Yuan R.a · Shang W.a · Zhi K.a, b

Author affiliations

aDepartment of Oral and Maxillofacial Surgery, The Affiliated Hospital of Qingdao University, Qingdao, bDepartment of Oral and Maxillofacial Surgery, College of Stomatology, Xi'an Jiaotong University, Xi'an, and cDepartment of Stomatology, Shandong Jiaotong Hospital, Jinan, PR China

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ORL 2017;79:264-273

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 29, 2016
Accepted: July 24, 2017
Published online: September 08, 2017
Issue release date: November 2017

Number of Print Pages: 10
Number of Figures: 3
Number of Tables: 5

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL

Abstract

Purpose: We conducted a study to compare the functional outcomes and surgical complications of patients with benign parotid tumors treated with conventional parotidectomy and modified parotidectomy. Methods: This study retrospectively analyzed 99 patients who had benign parotid lesions and underwent parotidectomy using either conventional or modified parotidectomy. The operation time, cosmetic outcome, great auricular nerve anesthesia, incidence of Frey syndrome, and secretory function with the two techniques were compared. Results: The mean operation time was shorter and the total complication rate was obviously lower in the modified surgery group (p < 0.001). In the modified surgery group, the incision was more cosmetic (p < 0.001), the sensory deficit rate was low (p < 0.001), and the sensory recovery rate was high, and transient facial paralysis and Frey syndrome were rare. Furthermore, glandular function was preserved in patients with a conserved Stensen duct. There was no tumor recurrence in the two groups during a mean follow-up of 29.8 months. Conclusion: Modified surgical techniques for benign parotid neoplasms significantly reduced the surgery time and improved the surgery outcomes compared with the conventional approach. This adds to the evidence to support the effectiveness of modified parotidectomy in selected patients with benign parotid tumors.

© 2017 S. Karger AG, Basel


References

  1. Zhang SS, Ma DQ, Guo CB, Huang MX, Peng X, Yu GY: Conservation of salivary secretion and facial nerve function in partial superficial parotidectomy. Int J Oral Maxillofac Surg 2013;42:868-873.
  2. Leverstein H, van der Wal JE, Tiwari RM, van der Waal I, Snow GB: Surgical management of 246 previously untreated pleomorphic adenomas of the parotid gland. Br J Surg 1997;84:399-403.
  3. Roh JL, Kim HS, Park CI: Randomized clinical trial comparing partial parotidectomy versus superficial or total parotidectomy. Br J Surg 2007;94:1081-1087.
  4. Papadogeorgakis N, Skouteris CA, Mylonas AI, Angelopoulos AP: Superficial parotidectomy: technical modifications based on tumour characteristics. J Craniomaxillofac Surg 2004;32:350-353.
  5. McGurk M, Thomas BL, Renehan AG: Extracapsular dissection for clinically benign parotid lumps: reduced morbidity without oncological compromise. Br J Cancer 2003;89:1610-1613.
  6. Hegazy MA, El Nahas W, Roshdy S: Surgical outcome of modified versus conventional parotidectomy in treatment of benign parotid tumors. J Surg Oncol 2011;103:163-168.
  7. Suen DT, Chow TL, Lam CY, Wong ES, Lam SH: Sensation recovery improved by great auricular nerve preservation in parotidectomy: a prospective double-blind study. ANZ J Surg 2007;77:374-376.
  8. Ryan WR, Fee WE Jr: Great auricular nerve morbidity after nerve sacrifice during parotidectomy. Arch Otolaryngol Head Neck Surg 2006;132:642-649.
  9. Grover N, D'Souza A: Facelift approach for parotidectomy: an evolving aesthetic technique. Otolaryngol Head Neck Surg 2013;148:548-556.
  10. Zhi K, Ren W, Gao L, Zhao L, Huang S, Li J, Guo F: Face-lift incision combined with sternomastoid muscular flap in parotidectomy. Aesthetic Plast Surg 2011;35:558-562.
  11. O'Brien CJ: Current management of benign parotid tumors - the role of limited superficial parotidectomy. Head Neck 2003;25:946-952.
  12. Mantsopoulos K, Koch M, Klintworth N, Zenk J, Iro H: Evolution and changing trends in surgery for benign parotid tumors. Laryngoscope 2015;125:122-127.
  13. Martí-Pagès C, García-Díez E, García-Arana L, Mair D, Biosca MJ, Gimeno-Medina X, Hernández-Alfaro F: Minimal incision in parotidectomy. Int J Oral Maxillofac Surg 2007;36:72-76.
  14. Lohuis PJ, Tan ML, Bonte K, van den Brekel MW, Balm AJ, Vermeersch HB: Superficial parotidectomy via facelift incision. Ann Otol Rhinol Laryngol 2009;118:276-280.
  15. Murthy P, Hussain A, McLay KA: Parotidectomy through a rhytidectomy incision. Clin Otolaryngol Allied Sci 1997;22:206-208.
  16. Nouraei SA, Al‐Yaghchi C, Ahmed J, Kirkpatrick N, Mansuri S, Singh A, Grant WE: An anatomical comparison of Blair and facelift incisions for parotid surgery. Clin Otolaryngol 2006;31:531-534.
  17. Hui Y, Wong DSY, Wong LY, Ho WK, Wei WI: A prospective controlled double-blind trial of great auricular nerve preservation at parotidectomy. Am J Surg 2003;185:574-579.
  18. Vieira MB, Maia AF, Ribeiro JC: Randomized prospective study of the validity of the great auricular nerve preservation in parotidectomy. Arch Otolaryngol Head Neck Surg 2002;128:1191-1195.
  19. de Bree R, van der Waal I, Leemans CR: Management of Frey syndrome. Head Neck 2007;29:773-778.
  20. Barberá R, Castillo F, D'Oleo C, Benítez S, Cobeta I: Superficial musculoaponeurotic system flap in partial parotidectomy and clinical and subclinical Frey's syndrome. Cosmesis and quality of life. Head Neck 2014;36:130-136.
  21. Baum SH, Pförtner R, Ladwein F, Schmeling C, Rieger G, Mohr C: Use of dermis-fat grafts in the prevention of Frey's syndrome after parotidectomy. J Craniomaxillofac Surg 2016;44:301-308.
  22. Zhao HW, Li LJ, Han B, Liu H, Pan J: Preventing post-surgical complications by modification of parotidectomy. Int J Oral Maxillofac Surg 2008;37:345-349.
  23. Zumeng Y, Gao Z, Zhang G, Wang J, Tan Y: Modified superficial parotidectomy: preserving both the great auricular nerve and the parotid gland fascia. Otolaryngol Head Neck Surg 2006;135:458-462.
  24. Chaushu G, Dori S, Sela BA, Taicher S, Kronenberg J, Talmi YP: Salivary flow dynamics after parotid surgery: a preliminary report. Otolaryngol Head Neck Surg 2001;124:270-273.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: July 29, 2016
Accepted: July 24, 2017
Published online: September 08, 2017
Issue release date: November 2017

Number of Print Pages: 10
Number of Figures: 3
Number of Tables: 5

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: https://www.karger.com/ORL


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