Parotidectomy: surgery in evolution

Eviston, Timothy J.; Yabe, Takako Eva; Gupta, Ruta; Ebrahimi, Ardalan; Clark, Jonathan

doi:10.1111/ans.13212

Cited by 18 publications

(33 citation statements)

References 25 publications

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“…Within the sialocele group, 5 of 8 patients who underwent neck dissection harbored a malignancy. This rate is similar to values present in the literature (65% to 80%) . Finally, facial nerve injury was the most common complication; however, only 1 patient with sialocele who did not have intentional loss of the nerve had permanent weakness (1.4%).…”

Section: Discussionsupporting

confidence: 89%

“…A review of the literature demonstrates that patient characteristics were evaluated thoroughly in only 1 study in relation to sialocele formation . There is conflicting information about the relationship between sialocele formation and the extent of dissection . Therefore, we evaluated patient and tumor characteristics as well as extent of dissection to determine if these variables were associated with the development of a sialocele or salivary fistula.…”

Section: Discussionmentioning

confidence: 99%

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Factors influencing sialocele or salivary fistula formation postparotidectomy

et al. 2016

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Factors influencing sialocele or salivary fistula formation postparotidectomy

et al. 2016

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“…Article titles such as "Parotidectomy: surgery in evolution" or "Evolution and changing trends in surgery for benign parotid tumours" clearly indicates the current situation in the salivary surgery and its gradual movement towards minimally invasive techniques 7 8 . Yet, benign and malignant tumours are to be operated traditionally.…”

Section: Surgical Complications Of Traditional Surgerymentioning

confidence: 99%

Complications of traditional and modern therapeutic salivary approaches

Nahlieli

2017

Acta Otorhinolaryngol Ital

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Le complicanze dopo chirurgia tradizionale delle ghiandole salivari sono notoriamente documentate in letteratura e comprendono: la sindrome di Frey, la paralisi parziale o completa del nervo facciale, le lesioni del nervo grande auricolare, lo scialocele, la fistola salivare e gli esiti cicatriziali a livello della cute del volto. Per contro, le principali complicanze secondarie ai trattamenti endoscopici risultano essere lavulsione del dotto salivare, le stenosi secondarie, la tumefazione ghiandolare, le fistole salivari, le perforazioni da falsa strada, le ranule post- traumatiche e le parestesie del nervo linguale. In generale, le moderne tecniche di chirurgia minimamente invasiva mostrano un tasso di complicanze post-operatorie significativamente inferiore rispetto alla chirurgia tradizionale delle ghiandole salivari. Tuttavia, un confronto tra le due strategie chirurgiche non può svolgersi correttamente perché esse sono applicate a diversi ambiti patologici. La combinazione di più tecniche di chirurgia minimamente invasiva rende sfumata la linea di confine tra chirurgia tradizionale e moderna, risultando utile e necessaria una più dettagliata descrizione del progressivo abbandono delle tecniche tradizionali a favore delle nuove.

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“…The literature suggests that the rate of permanent facial palsy is approximately 2–6% after parotidectomy [3]. Transient post-operative facial nerve impairment is observed in 25% to 60% of patients [4]. A current review by Quer et al comments on the history and classification of parotidectomies by the European Salivary Gland Society [5].…”

Section: Discussionmentioning

confidence: 99%

Fluorescein sodium-guided surgery of parotid gland tumors as a technical advance

Haubner¹,

Gassner²,

Brawanski

et al. 2017

BMC Ear Nose Throat Disord

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BackgroundComplete tumor removal and preservation of the facial nerve are essential in parotid gland surgery. A technical adjunct that potentially enhances the contrast between the facial nerve and the adherent tumor tissue and allows to identify residual tumor tissue could be Fluorescein Sodium.MethodsRetrospective chart analysis on 7 patients with benign parotid gland lesions that were operated using Fluorescein Sodium intravenously and the application of the YELLOW 560 nm filter of the operating microscope. Safety and feasibility were evaluated.ResultsAll tumors showed fluorescence and the rating ´contrast-enhancing´ was assigned in all cases. In 2 patients, satellite nodules were identified and resected meaning that the fluorescence staining of the tumor margins was significantly better than under white light.ConclusionThe use of Fluorescein Sodium in parotidectomy is promising. In two cases residual tumor was detected that would have been left behind under white light. Further research in parotid gland surgery and other head and neck tumor procedures is warranted.

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Parotidectomy: surgery in evolution

Cited by 18 publications

References 25 publications

Factors influencing sialocele or salivary fistula formation postparotidectomy

Factors influencing sialocele or salivary fistula formation postparotidectomy

Complications of traditional and modern therapeutic salivary approaches

Fluorescein sodium-guided surgery of parotid gland tumors as a technical advance

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