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Results of 301 Parotidectomies: A Twenty-Year Experience of One Single Institution

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Abstract

To evaluate demographic, clinical, surgical and histopathological results and complications of 301 parotidectomies performed in southern part of Turkey. The results of 297 patients undergoing 301 parotidectomies between 2000 and 2019 were retrospectively reviewed. Four patients underwent bilateral parotidectomy. Age, gender, side and size of lesion, postoperative facial nerve function (FNF) for benign tumors and types of surgery were evaluated. There were 172 male and 125 female patients. The mean age was 52.53 ± 16.67 years (range 11–90 years). Patients with malignant tumor had higher mean age than the patients with benign diseases (p < 0.001) and the mean age of Warthin tumor (WT) patients was significantly higher than pleomorphic adenoma (PA) (p < 0.001). There was a significant male dominancy in WTs than the PAs (p < 0.001). The mean size of the malignant tumors was significantly higher than the benign tumors (p = 0.012). The mean of cigarette smoking value (pack/year) was higher in WTs than the PAs (p < 0.001). WT incidence was slightly higher than PA in between years 2010 and 2019 (p = 0.272) compared to between years 2000 and 2009. Fine needle aspiration biopsy had a sensitivity of 96% and specificity of 78% for the benign tumors. Tumor location (p < 0.001) and tumor size (p = 0.034) had negative effect on the postoperative FNF. The incidence of WT had a significant rise in the last decade. Deep lobe tumors and increased tumor size had effect postoperative FNF. Experience of surgeon is more important than nerve monitoring to prevent facial paralysis. Partial superficial parotidectomy was available methods for small benign tumors in tail of the parotid gland.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, University of Mersin School of Medicine, Çiftlikköy Kampüsü, Çiftlikköy/Yenişehir, Mersin, Turkey

    Harun Gür, Onur İsmi, Yusuf Vayısoğlu, Kemal Görür, Murat Ünal, Onurhan Güven & Cengiz Özcan

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  1. Harun Gür
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  2. Onur İsmi
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  3. Yusuf Vayısoğlu
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  4. Kemal Görür
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Contributions

HG: Conceptualization, Methodology, Data curation. Oİ: Formal analysis, Writing—original draft preparation, Methodology. YV: Writing—Reviewing and Editing. KG: Data curation, Supervision. MÜ: Writing—Reviewing and Editing, Supervision. OG: Data curation, Supervision. CÖ: Writing—Reviewing and Editing, Supervision, Methodology.

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Correspondence to Harun Gür.

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All the authors declare no conflict of interest.

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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of University Mersin (Date: 04.03.2020/No: 2020/209).

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Gür, H., İsmi, O., Vayısoğlu, Y. et al. Results of 301 Parotidectomies: A Twenty-Year Experience of One Single Institution. Indian J Otolaryngol Head Neck Surg 75, 208–217 (2023). https://doi.org/10.1007/s12070-022-03157-3

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