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- Title
Total versus superficial parotidectomy for stage III melanoma.
- Authors
Wertz, Aileen P.; Durham, Alison B.; Malloy, Kelly M.; Johnson, Timothy M.; Bradford, Carol R.; McLean, Scott A.
- Abstract
Background The primary purpose of this study was to describe the parotid recurrence rates after superficial and total parotidectomy. Methods A retrospective cohort study was performed on patients with cutaneous melanoma metastatic to the parotid gland who underwent parotidectomy from 1998 through 2014. Primary outcome was parotid bed recurrence. Secondary outcomes were facial nerve function postoperatively and at last follow-up. Results One hundred twenty-nine patients were included in the study. Thirty-four patients (26%) underwent a total parotidectomy and 95 patients underwent superficial parotidectomy. Twelve patients (13%) developed parotid bed recurrence after superficial parotidectomy alone versus zero after total parotidectomy ( P = .035). Facial nerve function, clinically detected disease, stage, and adjuvant treatment were not statistically different between the groups ( P = .32, .32, .13, and 0.99, respectively). Conclusion Parotid bed melanoma recurrence was more common after superficial parotidectomy compared to total parotidectomy, and recurrence resulted in significant facial nerve functional deficit. Our results support total parotidectomy when metastatic melanoma involves the parotid nodal basin.
- Subjects
PAROTIDECTOMY; COHORT analysis; FACIAL nerve diseases; PAROTID glands; MELANOMA; CANCER
- Publication
Head & Neck, 2017, Vol 39, Issue 8, p1665
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.24810