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Evaluation of Lateral Temporal Bone Resection in Locally Advanced Tumours of the Parotid Gland

  • Mustafa AslıerEmail author
  • Ersoy Doğan
  • Ahmet Ömer İkiz
  • Sülen Sarıoğlu
  • Fadime Akman
  • Enis Alpin Güneri
Original Article
  • 26 Downloads

Abstract

This study evaluated the effects of lateral temporal bone resection (LTBR) on local tumour control in patients with locally advanced parotid gland tumours. The medical records of seven patients treated with radical parotidectomy combined with LTBR for locally advanced primary parotid tumour at the Otolaryngology Department of Dokuz Eylul University between January 1995 and December 2016 were retrospectively evaluated. Demographic variables, tumour characteristics, treatment properties, postoperative complications, follow-up durations and local, regional and distant recurrences were analysed. Before referral to our clinic, four patients had de novo primary parotid tumours, and three patients had a recurrence of primary parotid tumours. The histopathologic diagnoses were squamous cell carcinoma in two patients, and adenosquamous carcinoma, malignant myoepithelial carcinoma, adenocarcinoma, adenoid cystic carcinoma and spindle cell sarcoma in the other patients. During the follow-up period, one patient died due to postoperative pulmonary embolism in the first month, and four patients died due to distant metastasis without local or regional recurrences. LTBR combined with radical parotidectomy in locally advanced primary malignant parotid gland tumours is a feasible surgical technique for local tumour control. However, the most common cause of death in these cases is distant metastases, despite appropriate resection.

Keywords

Lateral temporal bone resection Parotid neoplasms Salivary gland neoplasms Squamous cell carcinoma Temporal bone 

Notes

Funding

There is not any funding organisations to be disclosed for the present study.

Compliance with Ethical Standards

Conflict of interest

The authors have no funding, financial relationships or conflict of interest to disclose.

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.

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Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.Department of Otorhinolaryngology, Faculty of MedicineDokuz Eylul UniversityIzmirTurkey
  2. 2.Department of Pathology, Faculty of MedicineDokuz Eylul UniversityIzmirTurkey
  3. 3.Department of Radiation Oncology, Faculty of MedicineDokuz Eylul UniversityIzmirTurkey
  4. 4.Sancaktepe Şehit Prof. Dr. İlhan Varank Education and Research HospitalİstanbulTurkey

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