Parotidectomy in the management of squamous cell carcinoma of the external auditory canal

An extensive squamous cell carcinoma of the auricle: From curative to reconstructive treatment. A case report

“…The parotidectomy in our case has a clear indication but the selective neck dissection was performed per-operatively in excess. Bingbin Xie and al, in accordance with many authors, concluded in his study that total parotidectomy should be mandatory for all advanced-staged (T3 and T4) patients [13] .…”

“…The choice of surgical intervention depends on the stage of the pathology. It can go from a simple excision or Mohs Micrographic Surgery in very early stages [2] to lateral, subtotal or total temporal bone resection that can be combined with neck dissection and parotidectomy in advanced cases [12] , [13] . While parotidectomy and neck dissection are indicated in patients with clinical and radiological signs of regional metastasis, their place is very controversial amongst authors in the absence of these signs [11] .…”

Evaluation of subclasses for T4‐classified squamous cell carcinoma of the external auditory canal

“…Most studies suggest performing at least an elective superficial parotidectomy in advanced EAC SCC even when there is no clinically suspected lymph node metastasis 7,8,12,16–20 . However, other studies recommend that cT4‐classified tumors should additionally be treated with a total parotidectomy 21–24 . In contrast, two studies proposed no elective parotidectomy, but elective treatment of the parotid gland with radiotherapy 1 or to consider it only when a neck dissection is indicated 2 .…”

“…7,8,12,[16][17][18][19][20] However, other studies recommend that cT4-classified tumors should additionally be treated with a total parotidectomy. [21][22][23][24] In contrast, two studies proposed no elective parotidectomy, but elective treatment of the parotid gland with radiotherapy 1 or to consider it only when a neck dissection is indicated. 2 Elective parotidectomy for EAC SCC was frequently performed in our data.…”

Variations of en Bloc Resection for Advanced External Auditory Canal Squamous Cell Carcinoma: Detailed Anatomical Considerations

“…Lee et al provided evidence regarding the use of elective parotidectomy for temporal bone carcinoma and recommended total parotidectomy for advanced SCC [ 37 ]. Parotidectomy is undoubtedly required in the surgical treatment of temporal bone SCC, and the extent of the resection of the parotid remains controversial [ 37 , 38 , 39 ].…”