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- Title
The extracapsular dissection technique in the management of benign tumours of the parotid gland: our experience in 194 patients.
- Authors
Allevi, Fabiana; Borzi, Patrizia; Valsecchi, Federico; Cucurullo, Marco; Bolognesi, Federico; Rabbiosi, Dimitri; Biglioli, Federico
- Abstract
Objective: The indications for and approaches to extracapsular dissection for parotid gland benign tumours are debated in the literature. This study retrospectively evaluates a single site's short- and long-term results with a standardised extracapsular dissection approach to benign parotid tumours. Methods: A retrospective review of a single institution's records identified cases with extracapsular dissection as the primary surgery for non-recurrent benign parotid tumours. A total of 194 eligible patients were identified (124 women and 70 men, age 47.75 ± 15.62 years). Pre-, intra- and post-surgical data were reviewed for complications and recurrences. Results: Histology reported pleomorphic adenoma in 165 patients, Warthin's tumour in 28 patients and both in one patient. Mean follow up was 36 ± 16 months (range, 12–84 months). The incidences of complications following extracapsular dissection were temporary (n = 13) and permanent (n = 0) facial nerve dysfunction, Frey's syndrome (n = 1)) and recurrences (n = 5). These rates align with prior literature. Conclusion: This case series shows how a standardised approach to extracapsular dissection for benign parotid tumours yields favourable results, supporting a progressive change of strategy towards reduced invasiveness.
- Subjects
PAROTID gland surgery; FREY'S syndrome; CANCER relapse; DISEASE management; HUMAN dissection; RETROSPECTIVE studies; TREATMENT effectiveness; DESCRIPTIVE statistics; OPERATIVE surgery; VETERINARY dissection; SURGICAL complications; PAROTID gland tumors; MEDICAL records; ACQUISITION of data; FACIAL nerve; PAROTID glands
- Publication
Journal of Laryngology & Otology, 2024, Vol 138, Issue 5, p565
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215123001767