Superficial parotidectomy versus partial superficial parotidectomy in treating benign parotid tumors

Huang,Gang; Yan,Guangqi; Wei,Xinli; He,Xin

doi:10.3892/ol.2014.2743

Superficial parotidectomy versus partial superficial parotidectomy in treating benign parotid tumors

Authors:
- Gang Huang
- Guangqi Yan
- Xinli Wei
- Xin He
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Affiliations: Department of Oral and Maxillofacial Surgery, General Hospital of Benxi Iron and Steel Co., Benxi, Liaoning 117000, P.R. China, Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Shenyang, Liaoning 110002, P.R. China
Published online on: November 27, 2014 https://doi.org/10.3892/ol.2014.2743
Pages: 887-890

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Abstract

The aim of the present study was to compare the outcomes of superficial parotidectomy (SP) and partial superficial parotidectomy (PSP) in treating benign parotid tumors. Individuals who had undergone SP or PSP between 2005 and 2008 were enrolled, the medical records were reviewed, and a questionnaire was created and mailed to the patients. For the statistical analysis, χ2 and non‑parametric Mann‑Whitney tests were used to analyze the variables. In total, 320 patients were included in the present study. Within the PSP group, immediate facial nerve weakness occurred in six patients (7.6%), and Frey's syndrome occurred in five (6.3%). Despite this, facial nerve function recovered fully during the follow‑up, and recurrence was not identified. Within the SP group, Frey's syndrome occurred in 38 patients (15.8%), immediate facial nerve weakness in 55 patients (22.8%) and permanent facial nerve dysfunction in two patients (0.8%). However, no recurrence was evident. In total, 216 (67.5%) patients returned the questionnaire. Those with PSP demonstrated improved scores in the domains of appearance, facial contours, facial nerve function and Frey's syndrome. Compared with SP, PSP not only decreased the incidence of Frey's syndrome and transient facial nerve weakness, but also improved quality of life outcomes and guaranteed a low recurrence rate.

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1	Upton DC, McNamar JP, Connor NP, Harari PM and Harting GK: Parotidectomy: ten-year review of 237 cases at a single institution. Otolaryngol Head Neck Surg. 136:788–792. 2007. View Article : Google Scholar : PubMed/NCBI
2	Pia F, Policarpo M, Dosdegani R, Olina M, Brovelli F and Aluffi P: Centripetal approach to the facial nerve in parotid surgery: personal experience. Acta Otorhinolaryngol Ital. 23:111–115. 2003.PubMed/NCBI
3	Bhattacharyya N, Richardson ME and Gugino LD: An objective assessment of the advantages of retrograde parotidectomy. Otolaryngol Head Neck Surg. 131:392–396. 2004. View Article : Google Scholar : PubMed/NCBI
4	Emodi O, El-Naaj IA, Gordin A, Akrish S and Peled M: Superficial parotidectomy versus retrograde partial superficial parotidectomy in treating benign salivary gland tumor (pleomorphic adenoma). J Oral Maxillofac Surg. 68:2092–2098. 2010. View Article : Google Scholar : PubMed/NCBI
5	Erkan AN, Yavuz H, Ozer C, Ozer F and Ozluoglu L: Quality of life after surgery for benign disease of the parotid gland. J Laryngol Otol. 122:397–402. 2008. View Article : Google Scholar
6	Nitzan D, Kronenberg J, Horowitz Z, et al: Quality of life following parotidectomy for malignant and benign disease. Plast Reconstr Surg. 114:1060–1067. 2004. View Article : Google Scholar : PubMed/NCBI
7	Koch M, Zenk J and Iro H: Long-term results of morbidity after parotid gland surgery in benign disease. Laryngoscope. 120:724–730. 2010. View Article : Google Scholar : PubMed/NCBI
8	Zhang SS, Ma DQ, Guo CB, Huang MX, Peng X and Yu GY: Conservation of salivary secretion and facial nerve function in partial superficial parotidectomy. Int J Oral Maxillofac Surg. 42:868–873. 2013. View Article : Google Scholar : PubMed/NCBI
9	Dell’Aversana Orabona G, Bonavolontà P, Iaconetta G, Forte R and Califano L: Surgical management of benign tumors of the parotid gland: extracapsular dissection versus superficial parotidectomy - our experience in 232 cases. J Oral Maxilllofac Surg. 71:410–413. 2013. View Article : Google Scholar
10	Ciuman RR, Oels W, Jaussi R and Dost P: Outcome, general, and symptom-specific quality of life after various types of parotid resection. Laryngoscope. 122:1254–1261. 2012. View Article : Google Scholar : PubMed/NCBI
11	Foghsgaard S, Foghsgaard J and Homøe P: Early post-operative morbidity after superficial parotidectomy: a prospective study concerning pain and resumption of normal activity. Clin Otolaryngol. 32:54–57. 2007. View Article : Google Scholar : PubMed/NCBI
12	Wormald R, Donnelly M and Timon C: ‘Minor’ morbidity after parotid surgery via the modified Blair incision. J Plast Reconstr Aesthet Surg. 62:1008–1011. 2009. View Article : Google Scholar
13	Roh JL, Kim HS and Park CI: Randomized clinical trial comparing partial parotidectomy versus superficial or total parotidectomy. Br J Surg. 94:1081–1087. 2007. View Article : Google Scholar : PubMed/NCBI
14	Ali NS, Nawaz A, Rajput S and Ikram M: Parotidectomy: a review of 112 patients treated at a teaching hospital in Pakistan. Asian Pacific J Cancer Prev. 11:1111–1113. 2010.
15	Papadogeorgakis N: Partial superficial parotidectomy as the method of choice for treating pleomorphic adenomas of the parotid gland. Br J Oral Maxillofac Surg. 49:447–450. 2011. View Article : Google Scholar
16	Papadogeorgakis N, Skouteris CA, Mylonas AI and Angelopoulos AP: Superficial parotidectomy: technique modifications based on tumor characteristics. J Craniomaxillofac Surg. 32:350–353. 2004. View Article : Google Scholar : PubMed/NCBI
17	Witt RL: The significance of the margin in parotid surgery for pleomorphic adenoma. Laryngoscope. 112:2141–2154. 2002. View Article : Google Scholar : PubMed/NCBI
18	Zbären P, Vander Poorten V, Witt RL, et al: Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery? Am J Surg. 205:109–118. 2013. View Article : Google Scholar
19	Lim YC, Lee SY, Kim K, et al: Conservative parotidectomy for the treatment of parotid cancers. Oral Oncol. 41:1021–1027. 2005. View Article : Google Scholar : PubMed/NCBI