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Objective: To determine surgical complications and recurrence rate in patients with benign lesions of the parotid undergoing extracapsular dissection. Study Design: Case Series. Setting: Department of Surgery, Rawalpindi Medical University, Rawalpindi. Period: January 2010 and December 2018. Material & Methods: The hospital records of all 50 patients who underwent extracapsular dissection with a diagnosis of either Pleomorphic adenoma or War thin tumor between reviewed retrospectively. Data regarding demographics, tumor, complications and recurrence was collected. Results: Out of 50 patients, 40 were males and 10 were females with age ranging from 26 to 52 years and mean age of 42 years. 44 of 50 parotid lumps were diagnosed as Pleomorphic adenoma and 6 were cases of Warthin tumor. The range of lesion size was 1.5 to 3 cm. 15 (30%) patients suffered from transient facial nerve weakness, whereas only 1 (2%) sustained a facial nerve injury which required repair. There was no case of Frey syndrome, sialocele and hematoma, however, salivary fistula was seen in 1 (2%) patient. Capsule rupture during surgery occurred in 15 (30%) patients and recurrence was seen in only 1 patient (2%). Conclusion: Extracapsular dissection has low recurrence rate, very few complications and is a safe and effective treatment for Pleomorphic adenoma and Warthin tumor.

Objectives: To compare trismus in surgical removal of impacted mandibularthird molar using comma incision and standard Wards incision. Study Design: Cross sectionalstudy. Setting: Dental OPD of Isra Dental College, Isra University. Period: 1st January to 30thJune 2016. Materials and Methods: A sample of 50 patients of impacted third molar wasselected by non-probability purposive sampling for tooth extraction either by conventionaltechnique or by coma shaped incision at the Department of Oral surgery, Isra Dental CollegeHospital. Patients were selected according to inclusion and exclusion criteria. Post-operativemeasurement of trismus was measured on 1st, 3rd and 7th day respectively. Results: Mean ±SD age in group A and B was noted as 28.5 ± 4.32 and 27.2 ± 4.39 years respectively. Maleand female in groups A and B were noted as 16 (64%) and 9 (36%), & 14 (56%) and 11 (44%)respectively. Right and left lower mandibular teeth extraction in groups A and B were noted 11and 14, & 10 and 15 respectively. Trismus was measured preoperatively and subsequently atday 1, day 3 and day 7. Conclusion: In conclusion, the Coma incision was preferable over theconventional method- the standard Ward`s incision because of lesser degree of trismus seen.Further research with newer flap designs and the comma design should be preferred by theclinicians for the extraction of impacted third molar surgery.