Limited Parotidectomy: The Role of Extracapsular Dissection in Parotid Gland Neoplasms

Smith, Sarah; Komisar, Arnold

doi:10.1097/mlg.0b013e31806009fe

Cited by 71 publications

(60 citation statements)

References 15 publications

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“…Sialocele and fistula have been reported in 4 and 5 % [28,51] in a series on ECD with a fistula rate of 2 % [28]. Sialocele has been reported as high as 39 % in PSP although resolution without treatment occurred in all cases within 4 weeks [52].…”

Section: Sialocelementioning

confidence: 99%

The Role of Extracapsular Dissection for Benign Parotid Tumors

Witt

Iro

McGurk

2014

Curr Otorhinolaryngol Rep

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Surgical treatment of benign parotid tumors has been debated for decades. Extracapsular dissection (ECD) differs markedly from classic surgical approaches to the parotid neoplasm because facial nerve dissection is not performed. ECD, its advantages, disadvantages, indications, and contra-indications for benign tumors with an emphasis on benign mixed tumor will be comprehensively explored in this chapter. Factors noted to favor this approach include mobility of the tumor within the gland, a thin covering of capsule and glandular tissue, and a tumor large enough to allow digital manipulation during dissection. Imaging, fine needle aspiration cytology, and neuromonitoring play a heightened role in ECD. Recurrence and permanent facial nerve dysfunction with ECD are not higher in high volume centers performed by experienced surgeons. Transient facial nerve dysfunction, Frey's syndrome, sensory deficits, and sialocele are lower with ECD. Devastating adverse outcomes of permanent facial nerve dysfunction and recurrence should be considered by the occasional and inexperienced parotid surgeon.

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Section: Sialocelementioning

confidence: 99%

The Role of Extracapsular Dissection for Benign Parotid Tumors

Witt

Iro

McGurk

2014

Curr Otorhinolaryngol Rep

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“…[1] Eighty percent of these are benign, mostly pleomorphic adenomas. [2] Approximately 90% of parotid gland neoplasms are located within the superficial lobe, lateral to the facial nerve.…”

Section: Introductionmentioning

confidence: 99%

Extracapsular dissection of pleomorphic adenoma in the parotid gland: A case report and review of the literature

et al. 2014

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Salivary gland tumors comprise of less than 3% of all tumors of the head and neck region. Pleomorphic adenoma represents 45 to 74% of all these salivary gland tumors and 65% of them occur in the parotid gland. Owing to the close proximity of this tumor to the facial nerve, there have been various techniques for surgical management of this tumor in the literature. Extracapsular dissection of pleomorphic adenoma is a conservative treatment modality which spares the handling of facial nerve. We are reporting a case of extracapsular dissection of pleomorphic adenoma in the lower pole of the superficial lobe of the parotid gland in a 22 year-old Indian male with a 1-year follow-up.

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“…Parotid gland neoplasm comprises 3% of all head and neck tumours 16 . Eighty percent of these are benign, mostly pleomorphic adenoma (PA) 6 .…”

mentioning

confidence: 99%

Extra-capsular dissection for benign parotid tumours

Shehata

2010

International Journal of Oral and Maxillofacial Surgery

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Limited Parotidectomy: The Role of Extracapsular Dissection in Parotid Gland Neoplasms

Abstract: We advocate extracapsular dissection for benign parotid neoplasms because of the acceptable recurrence rates with limited complications as compared to superficial parotidectomy.

Cited by 71 publications

References 15 publications

The Role of Extracapsular Dissection for Benign Parotid Tumors

The Role of Extracapsular Dissection for Benign Parotid Tumors

Extracapsular dissection of pleomorphic adenoma in the parotid gland: A case report and review of the literature

Extra-capsular dissection for benign parotid tumours

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