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

  • Tripti MaithaniEmail author
  • Apoorva Kumar Pandey
  • Alok Kumar Agrahari
Original Article
  • 33 Downloads

Abstract

The aim of this analytical study was to assess the reduction in intra- and post-operative complications of parotid surgeries for benign lesions following simple surgical steps and to compare the outcome with the literature. A retrospective study of 77 patients requiring parotidectomy surgery for benign parotid lesions was conducted in Department of Otorhinolaryngology, Sri Guru Ram Rai Institute of Medical and Health Sciences, Dehradun from the period of January 2011 to January 2016. Patients were followed up for 1–5 years and serial evaluation was done for all cases who developed any of intra- or post-operative complications in their disease course. The ages of presentation varied from 1.5 to 70 years. There were 51 males and 26 female patients. Majority cases were of pleomorphic adenoma followed by warthins tumor. Superficial parotidectomy was done in 69 patients; 4 cases required near total parotidectomy while total conservative parotidectomy was done in 4 cases. The commonest complication was altered sensations around the ear which was seen in 10 cases followed by temporary facial nerve paresis and sialocele formation which occurred in 3 cases each. This study advocates the importance of detailed anatomical knowledge, behavior of various benign pathologies, experience of surgeon and his fine dissection techniques to ensure minimum risks of injury to important structures in surgical field.

Keywords

Parotid tumours Facial nerve palsy Parotidectomy Complication 

Notes

Compliance with Ethical Standards

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Guntinas-Lichius O, Kick C, Klussmann JP, Jungehuelsing M, Stennert E (2004) Pleormorphic adenoma of parotid gland : a 13 years experience of consequent management by lateral or total parotidectomy. Eur Arch Otorhinolaryngol 261:143–146CrossRefGoogle Scholar
  2. 2.
    Witt RL (2009) Incidence and management of sialocele after parotidectomy. Otolaryngol Head Neck Surg 140(6):871–874CrossRefGoogle Scholar
  3. 3.
    Wax M, Tarshis L (1991) Post-parotidectomy fistula. J Otolaryngol 20:10–13PubMedGoogle Scholar
  4. 4.
    Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A (2005) Treatment of complications of parotid gland surgery. Acta Otorhinolaryngol Ital 25(3):174–178PubMedPubMedCentralGoogle Scholar
  5. 5.
    Ciuman RR, Oels W, Jaussi R, Dost P (2012) Outcome, general, and symptom-specific quality of life after various types of parotid resection. Laryngoscope 122:1254–1261CrossRefGoogle Scholar
  6. 6.
    Arriaga MA, Myers EN (1990) The surgical management of chronic parotitis. Laryngoscope 100(12):1270–1275CrossRefGoogle Scholar
  7. 7.
    Redaelli de Zinis LO, Piccioni M, Antonelli AR, Nicolai P (2008) Management and prognostic factors of recurrent pleomorphic adenoma of the parotid gland: personal experience and review of the literature. Eur Arch Otorhinolaryngol 265(4):447–452CrossRefGoogle Scholar
  8. 8.
    Greenhill GA, O’Regan B (2009) Incidence of hypertrophic and keloid scars after N-butyl 2-cyanoacrylate tissue adhesive had been used to close parotidectomy wounds: a prospective study of 100 consecutive patients. Br J Oral Maxillofac Surg 47(4):290–293CrossRefGoogle Scholar
  9. 9.
    Linder TE, Huber A, Schmid S (1997) Frey’s syndrome after parotidectomy: a retrospective and prospective analysis. Laryngoscope 107:1496–1501CrossRefGoogle Scholar
  10. 10.
    Parkin DM, Whelan SL, Feray J (1997) Cancer incidence in five continents, vol VII. IARC Scientific Publication No. 143. Lyon International Agency for Research on CancerGoogle Scholar
  11. 11.
    Motamed M, Laugharne D, Bradley PJ (2003) Management of chronic parotitis: a review. J Laryngol Otol 117(7):521–526CrossRefGoogle Scholar
  12. 12.
    Ungari C, Paparo F, Colangeli W, Iannetti G (2008) Parotid glands tumors: overview of a 10 years experience with 282 patients, focusing o 231 benign epithelial neoplasms. Eur Rev Med Pharmacol Sci 12:321–325PubMedGoogle Scholar
  13. 13.
    Bron LP, O’Brien CJ (1997) Facial nerve function after parotidectomy. Arch Otolaryngol Head Neck Surg 123(10):1091–1096CrossRefGoogle Scholar
  14. 14.
    Gaillard C, Perie S, Susini B, Guily JL (2005) Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope 115(2):287–291CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of ENT, Mahant Indiresh HospitalShri Guru Ram Rai Institute of Medical and Health SciencesDehradunIndia

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