An Overview of Parotidectomy for Benign Parotid Lesions with Special Reference to Perioperative Techniques to Avoid Complications: Our Experience

Maithani, Tripti; Pandey, Apoorva Kumar; Agrahari, Alok Kumar

doi:10.1007/s12070-018-1261-3

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…Review of institutional experience may garner greater overall numbers, but analysis of these experiences is often divided among numerous providers varying in experience and with inherent technical variations. These limitations can lead to wide variation in the literature regarding the evaluation of key features relating to the efficacy of parotidectomy such as procedure duration, procedure type, facial nerve management and function, and other complications 15,16 …”

Section: Discussionmentioning

confidence: 99%

“…Complications were compared among all patients when stratified by parotidectomy approach ( complications. 15,16 The current study reviews the largest published single surgeon As noted, 924 cases reviewed were managed in an established and consistent manner for the time period studied, with commensurate close follow-up. This represents the largest single surgeon series and compares favorably in size to single institutional series over a similar time period reported in the literature.…”

Section: Management Approachmentioning

confidence: 99%

“…Yet, as clinical experience accrued with any of the described techniques, there has been great variance in the published data regarding the features specific to the management of parotid masses such as utilization rationale, specific tumor types, procedure durations and complication rates, specifically those involving the facial nerve. The literature is marked by smaller single institution series limited in number and scope, as well as larger database series lacking in specific detail 8,14‐19 . Other recent series from single institutions are larger in their scope and consistency, but they do possess the critical limiting variable of combined experiences of multiple surgeons participating over many years 16,20‐22 .…”

Section: Introductionmentioning

confidence: 99%

“…The literature is marked by smaller single institution series limited in number and scope, as well as larger database series lacking in specific detail. 8,[14][15][16][17][18][19] Other recent series from single institutions are larger in their scope and consistency, but they do possess the critical limiting variable of combined experiences of multiple surgeons participating over many years. 16,[20][21][22] Large single surgeon experiences utilizing a distinct and consistent approach to the management of parotid masses over a multi-year period in an academic setting are lacking.…”

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confidence: 99%

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Single‐surgeon parotidectomy outcomes in an academic center experience during a 15‐year period

Deschler

Kozin

Kanumuri

et al. 2020

Laryngoscope Investig Oto

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Objective: As large single-surgeon series in the literature are lacking, we sought to review a single-surgeon's experience with parotidectomy in an academic center, with a focused analysis of pathology, technique, and facial nerve (FN) weakness. Benchmark values for complications and operative times with routine trainee involvement and without continuous FN monitoring are offered. Materials and Methods: All patients who underwent parotidectomy, performed by D. G. D., for benign and malignant disease between January 2004 and December 2018 at an academic center were reviewed. Results: A total of 924 parotidectomies, with adequate evaluatable data were identified. The majority of patients had benign tumors (70.9%). Partial/superficial parotidectomy was the most common approach (65.7%). Selective FN branch sacrifice was rare (12.3%), but significantly more common among patients with malignant pathology (33.8% vs 3.5% for benign, P < .0001). Among patients with intact FN, post-operative short-and long-term FN weaknesses were rare (6.5% and 1.7%, respectively). These rates were lower among patients with benign tumors (5.4% and 1.3%). Partial/superficial parotidectomy for benign tumors was associated with a low rate of short-and long-term FN weaknesses (2.7% and 0.9%). Mean OR time was 185 minutes. Conclusion: This is the largest single-surgeon series on parotidectomy, spanning 15 years. We demonstrate excellent long-and short-term FN paresis rates with acceptable operative times without regular use of continuous FN monitoring and with routine trainee involvement. These findings may provide valuable insight into parotid tumor pathology, FN outcomes, and feasibility and expectations of performing parotidectomy in an academic setting.

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Section: Discussionmentioning

confidence: 99%

Section: Management Approachmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Single‐surgeon parotidectomy outcomes in an academic center experience during a 15‐year period

Deschler

Kozin

Kanumuri

et al. 2020

Laryngoscope Investig Oto

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“…The most significant complication is facial nerve dysfunction which can appear as paralysis (complete loss of function) or paresis (partial loss). 10,11 In the literature, the percentage of facial postoperative paralysis varies from 10% to 70% for transient involvement, and from 0 to 19% for definitive involvement. [12][13][14][15][16][17][18]…”

Section: Discussionmentioning

confidence: 99%

The parotid tumours-benign and malignant: our experience

Patel¹,

Mehta²

2023

Int J Otorhinolaryngol Head Neck Surg

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Salivary gland tumors are uncommon and constitute a highly heterogeneous histopathological group of neoplasms. The present study aims to determine the correlation between the cytological and histopathological findings of parotid gland tumors, and preservation of the facial and posterior branch of the greater auricular nerve during parotid surgery. A study of 21 cases of parotid gland tumors was conducted at our hospital- GMERS Medical College and Civil Hospital, Valsad. All of them were clinically diagnosed and investigated. Hospital records of these patients including operative findings were analyzed concerning age, sex, indications for surgical management, and outcome. A total of 21 salivary gland tumors were diagnosed over 2 years representing pleomorphic adenoma was most commonly occurring in 15 (71%) cases followed by Warthin`s in 3 (14%) cases, mucoepidermoid carcinoma 2 (10%) and benign cystic lesion in 1 (5%) cases. Most of the parotid gland tumors occurred in the 20-60 years age group. Females were more commonly affected than males. The data discussed in this study was consistent with other hospital-based studies concerning age, sex, site, clinical presentation, diagnosis, complications, management, and outcome of these different types of parotid gland tumors.

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An institutional review of recurrent pleomorphic adenoma of the parotid gland

et al. 2022

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Objective: Surgical resection is standard treatment for pleomorphic adenoma (PA) of the parotid gland. A small number (2-5%) of these tumors recur. Recurrence usually necessitates re-operation, which is technically challenging and puts the facial nerve (FN) at risk. The aim of this study is to characterize the recurrent parotid PA population and compare outcomes after surgery for singly recurrent and multiply recurrent tumors. Methods: This study was a retrospective chart review of patients at a single tertiary care academic medical center who underwent operations for recurrent PA of the parotid gland between 2007 and 2020. Demographic data, details of surgical interventions, pre-and post-operative FN function, and recurrence rates were studied. These factors were compared between patients with singly and multiply recurrent tumors. Results: Thirty-eight patients met criteria: 4 patients presented for primary PA and subsequently recurred, 26 with a first recurrence, 7 with a second recurrence, and 1 with a fourth recurrence. Multiply recurrent PAs were more likely to require at least partial nerve sacrifice at the time of reoperation (p=0.0092). Significantly worse long-term FN outcomes were seen following surgery for multiply recurrent PA (p=0.008). There was no significant difference between the rate of re-recurrence following first revision surgery versus 2nd-4th revision surgery. Time to re-operation was significantly shorter between the first and second revision surgery than between the primary surgery and first revision (p=0.0017). Conclusion: Surgery for recurrent PA incurs high risk to the FN, and this risk appears to increase in the setting of multiple recurrences.

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An Overview of Parotidectomy for Benign Parotid Lesions with Special Reference to Perioperative Techniques to Avoid Complications: Our Experience

Cited by 3 publications

References 10 publications

Single‐surgeon parotidectomy outcomes in an academic center experience during a 15‐year period

Single‐surgeon parotidectomy outcomes in an academic center experience during a 15‐year period

The parotid tumours-benign and malignant: our experience

An institutional review of recurrent pleomorphic adenoma of the parotid gland

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