ISSN : 2146-3123
E-ISSN : 2146-3131

Evaluation of Surgical and Histopathologic Results of Patients Operated for Parotid Gland Tumor
Abdullah Taş 1, Safiye Giran 1, Recep Yağız 1, Mustafa Kemal Adalı 1, Ahmet Karasalihoğlu 1, Ömer Yalçın 2, Muhsin Koten 3
1Trakya Üniversitesi Tıp Fakültesi Kulak Burun Boğaz Hastalıkları Anabilim Dalı, Edirne
2Trakya Üniversitesi Tıp Fakültesi, Patoloji Anabilim Dalı, Edirne
3Trakya Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Anabilim Dalı, Edirne
Pages : 43-48

Abstract

Objectives: To investigate the patients with parotid tumors retrospectively and to evaluate the surgical procedure, histopathologic results, incidence, follow-up time and complications.

Patients and Methods: The study included 56 patients (38 males, 18 females; mean age 52.7 years; range 7 to 86 years) who presented with a mass below or in front of the ear between January 2000 and May 2008. The data regarding patient age, sex, surgical procedure, postoperative histopathologic results and follow-up time were recorded.

Results: One of the male patients underwent operation twice because of the bilateral parotid mass. According to the postoperative histopathologic results, 37 of the cases were benign (64.9%), and 20 of them were malign (35.1%). Pleomorphic adenoma (13 patients) and Whartin tumor (13 patients) incidence were similar. Partial superficial parotidectomy, superficial parotidectomy, and total parotidectomy were performed. In addition, some of the patients underwent neck dissection. The most frequent complication was transient facial nerve paresis.

Conclusion: For the management of benign parotid gland tumors, superficial or partial superficial parotidectomy is a sufficient surgery. For malign tumors, superficial or total parotidectomy; in cases with neck masses, neck dissection; and in cases involving the facial nerve, facial nerve resection and reconstruction should be performed. According to the type of tumor, postoperative radiation therapy and chemotherapy should be performed as well.

Keywords : Parotid neoplasms; biopsy, fine needle; pathology; surgical procedures; neck dissection
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