Background: Before excision of the primary tumor in oropharyngeal cancer, a decision must be made to treat the cervical lymph nodes (LN) or not. The study aimed to assess the role of clinical palpation (CP) for preoperative detection of LN metastasis. Methods: Twenty patients with oropharyngeal squamous cell carcinoma (OSCC), managed by excision of the primary tumor and neck dissection. The histopathological examination results compared to the preoperative assessment of the nodes by CP.Results: There were 20 patients involved, 11 males and nine females. The mean age was 54.5 years. Twenty neck dissections performed; there was 14 LN metastasis as proved by histopathological examination. On CP, true positive was 12, false negative was two, true negative was two and false positive was four.Conclusions: Clinical palpation performed preoperatively is highly advised as it has high diagnostic capabilities to reach a decision to do neck dissection or not. Trial registration: not applicable
Background: Total superficial parotidectomy is the most commonly used approach in excising the tumors that affect the superficial lobe of the parotid gland, whether they're benign or malignant. The aim of the study is to evaluate the benefits and drawbacks of total superficial parotidectomy for parotid gland tumors within five years of follow-up. Patients and methods: Nineteen patients with lateral facial swelling affecting the parotid region were included in this study. All of them operated under general anesthesia with oral endotracheal intubation, where Modified Blair Incision (lazy S incision) was utilized in all cases. Anterograde dissection with facial nerve identification was accomplished with total superficial parotidectomy. Results: Fifteen patients had benign parotid tumors, and only four patients had well-differentiated mucoepidermoid carcinoma. Skin necrosis of the distal tip of the postauricular flap was the most commonly observed postoperative complication, it occurred in five patients; facial nerve weakness was observed in the another three patients. Conclusions: total superficial parotidectomy is an efficient, safe technique for benign and malignant tumors affecting the superficial lobe of the parotid gland with minimum postoperative complications.
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