Oncological and functional results after the surgical treatment of parotid cancer

Chung, Eun‐Jae; Lee, S. H.; Baek, Sang-Chul; Kwon, Ki Han; Chang, Yu Ping; Rho, Young Soo

doi:10.1016/j.ijom.2014.06.020

Cited by 12 publications

(22 citation statements)

References 16 publications

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“…Our favorable survival outcomes suggest that SMG malignancies are more similar in behavior to parotid cancer than expected. Some recent experiences in the treatment of parotid gland cancer, in fact, report a 5‐year OS ranging between 60% and 82% . Some speculations may be advanced to explain our encouraging results: first of all, meticulous diagnostic workup is essential to properly define local extension of the tumor and to obtain clues about its biologic aggressiveness.…”

Section: Discussionmentioning

confidence: 87%

“…Some recent experiences in the treatment of parotid gland cancer, in fact, report a 5year OS ranging between 60% and 82%. [26][27][28][29][30] Some speculations may be advanced to explain our encouraging results: first of all, meticulous diagnostic workup is essential to properly define local extension of the tumor and to obtain clues about its biologic aggressiveness. Second, the surgical technique by itself, with proper use of frozen sections and meticulous management of the neck, reduced the number of patients with positive margins and/or occult nodal disease left in place.…”

Section: Discussionmentioning

confidence: 99%

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Long‐term outcomes and prognosis in submandibular gland malignant tumors: A multicenter study

et al. 2018

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Long‐term outcomes and prognosis in submandibular gland malignant tumors: A multicenter study

et al. 2018

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“…This aspect of the management involving sacrificing of the facial nerve is reported to be esthetically displeasing and emotionally traumatising, therefore, some form of facial-neural reconstruction becomes imperative. [ 8 9 ]…”

Section: B Ackgroundmentioning

confidence: 99%

Clinical outcome of parotidectomy with reconstruction: Experience of a regional head and neck cancer unit

Okoturo

Osasuyi

2016

Niger J Surg

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Background:Salivary gland pathologies represent a histologically diverse group of benign and malignant neoplasms. Currently, World Health Organization recognizes 13 benign and 24 malignant variants of all salivary gland neoplasms. Surgery continues to remain the main-stay for treatment of parotid gland neoplasms. The aim of this study was to document our experiences of the patients treated for parotid tumors and find out if any compelling variable predicted the relative clinical outcomes.Materials and Methods:This was a retrospective study, from records of parotidectomies performed at the operating theatre by the head and neck cancer division of the study institution between 2010 and 2013. Eligibility for study inclusion included cases with benign or malignant parotid neoplasms requiring surgical management with or without adjunct radiotherapy. The predictors of postoperative complications, overall survival (OS), and disease-free survival (DFS) were analyzed.Results:A total of 20 patients underwent parotidectomy. The mean age was 42 years. Tumors were located on the left parotid in 13 cases (65%) and the right parotid in 7 cases (35%). The surgical procedures comprised 16 superficial parotidectomies, 1 total parotidectomy, and 3 radical parotidectomy (inclusive of facial nerve sacrifice) and 2 neck dissections levels II–V. The reconstructive procedures were 2 facial nerve branch cable grafts, 1 end-to-end facial-facial nerve branch anastomoses, and 2 facial re-animation surgeries (temporalis muscle suspensions). A total of five cases (33.3%) had postoperative complications. 2 variables (length of surgery and neck dissection) were found to have an impact on postoperative complications that were statistically significant. Additionally, length of surgery was a significant predictor on the 2 years OS and DFS.Conclusion:The result of this study showed good clinical outcome, especially in the benign cases. The comprehensive clinical outcome of the malignant cases could not be objectively assessed, as the OS and DFS were 50% at 2-years follow-up. It is our submission that a larger sample size is utilized in subsequent studies and quality of life evaluation is included in the methodology.

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“…Loss of bulk behind the ramus of mandible results in retromandibular depression which is aesthetically displeasing and emotionally traumatizing. 1,2 In parotid surgeries high rates of functional complications such as, temporary or permanent facial nerve injuries, Frey's syndrome and loss of ear sensation have been encountered. 3 To overcome the disadvantages of superficial or total parotidectomy, obliteration of defect is being done by flaps such as a sternocleidomastoid muscle (SCM) flap or superficial musculo-aponeurotic system (SMAS) flap, to achieve better facial contour restoration in reconstruction of the defect.…”

Section: Introductionmentioning

confidence: 99%

Assessment of functional outcome after parotidectomy reconstruction

Kumar

Singh

et al. 2018

Int J Otorhinolaryngol Head Neck Surg

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Background: Total or superficial parotidectomy, when a reconstructive technique is not used, usually leads to Frey’s syndrome, preauricular and retromandibular depression. These together with the scar from a classic or modified Blair incision limit the final aesthetic outcome. The superiorly based sternocleidomastoid muscle (SCM) flap or superficial musculo-aponeurotic system (SMAS) flap can be used for reconstruction of the defect to achieve better facial contour restoration. The aim and objective of the study was to evaluate the functional and cosmetic outcome of patients after reconstruction in parotid surgeries.Methods: This study was done in the department of Otorhinolaryngology & Head-Neck Surgery. Total number of patients with parotid tumours were 24 in each group namely- Group A: Patients undergoing parotid surgery without reconstruction. Group B: Patients undergoing parotid surgery with reconstruction using superiorly based sternocleidomastoid muscle flap. All patients were followed and analyzed on 6 weeks, 6 months and 1 year postoperatively on the basis of patient’s satisfaction, cosmesis, subjective Frey’s syndrome, retromandibular and pre-auricular depression using visual analogue scale. Results: In Group A, subjective Frey’s syndrome was present in 8.3% patients from 6 month to 1 year. In contrast, in Group B, it remain absent in all patients at all periods. In Group A, preauricular depression was present in 79.2% patients in immediate postop and 95.8% patients from 6 week to 1 year. In contrast, in Group B, it was present in only 4.2% patients at all periods. In Group A, retromandibular depression was present in 70.8% patients while in Group B, it was absent in all patients.Conclusions: The superiorly based SCM flap for reconstruction of defect following superficial or total parotidectomy improves the final outcome in terms of the facial deformity (pre-auricular, retro-auricular depression) and lowers the incidence of Frey’s syndrome.

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Oncological and functional results after the surgical treatment of parotid cancer

Cited by 12 publications

References 16 publications

Long‐term outcomes and prognosis in submandibular gland malignant tumors: A multicenter study

Long‐term outcomes and prognosis in submandibular gland malignant tumors: A multicenter study

Clinical outcome of parotidectomy with reconstruction: Experience of a regional head and neck cancer unit

Assessment of functional outcome after parotidectomy reconstruction

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