Superficial Parotidectomy Versus Retrograde Partial Superficial Parotidectomy in Treating Benign Salivary Gland Tumor (Pleomorphic Adenoma)

Emodi, Omri; El-Naaj, Imad Abu; Gordin, Arye; Akrish, Sharon; Peled, Micha

doi:10.1016/j.joms.2009.09.075

Cited by 56 publications

(55 citation statements)

References 30 publications

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“…[6] Many studies have shown that retrograde technique reduces duration of surgery. [1,5,9,17] In the present study mean surgery duration is 88 minutes and is comparable with observations in the above studies. Kornbult A.D et al and Singleton G.T observed that in almost all cases Frey's syndrome will be present if starch-iodine test is done.…”

Section: Discussionsupporting

confidence: 90%

“…[1] Disadvantages are, need for more extensive dissection which leads to increased incidence of facial nerve injury, longer operative time, more loss of normal parotid tissue, more blood loss and larger contour defect. [5] This technique is also more difficult to conduct in obese patients due to increased difficulty in finding facial nerve trunk. In obese patients even an experienced surgeon may fail to identify the facial nerve trunk also in patients with large tumours and in revision surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…In recent literature studies showing significant reduction in complication rates by retrograde technique when compared with ante grade technique for doing parotidectomy were published, which again attracted attention towards this "older" technique. [1,5,10,11,15] The retrograde dissection is technically easier and surgeon can limit the dissection to 1 or 2 branches of facial nerve if required and hence avoids injury to the trunk or other branches of facial nerve, aiming at removal of only the parotid parenchymal area that bears the tumour. A retrograde approach may conserve normal parotid tissue, result in a more favourable cosmetic outcome and reduce operative time.…”

Section: Introductionmentioning

confidence: 99%

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Retrograde Facial Nerve Dissection Using Zygomatic Branch as Landmark in Parotid Gland Surgery for Pleomorphic Adenoma: A 4 Year Prospective Study of 40 Cases

Biswal¹,

Sebastian²

2018

AIMDR

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Background: The retrograde dissection for doing parotidectomy is technically easier and surgeon can limit the dissection to 1 or 2 branches of facial nerve if required and hence avoids injury to the trunk or other branches of facial nerve, aiming at removal of only the parotid parenchymal area that bears the tumour. Objectives: To compare our results with those of similar studies in the recent literature. To compare nerve recovery rates when zygomatic branch is used as landmark with that of other techniques from literature. Methods: In this study 40 patients with pleomorphic adenoma of parotid gland underwent superficial parotidectomy at V.S.S Medical College hospital Burla and S.C.B medical college Cuttack in a 4 year period between 2013 and 2016. All 40 patients underwent retrograde superficial parotidectomy. We compared our results with results of similar studies in the recent literature. Results: Although all 40 patients experienced paresis immediately after surgery, 25% patients completely recovered and 75% patients had facial nerve weakness at the end of first week. Among this 60% patients were having H.B-2 weakness, 7.5% had H.B-3 weakness, 5% had H.B-4 and 2.5% had H.B-5 weakness. Any injury equal to or more than H.B-3 was considered serious. 15% patients were having serious injury. None of the patients had H.B-6 (severe) facial nerve weakness. Conclusion: Transient nerve weakness after retrograde parotidectomy is common but recovery will be faster than that of ante grade technique and within 6 months to 1 year all patients should recover nerve function completely.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Retrograde Facial Nerve Dissection Using Zygomatic Branch as Landmark in Parotid Gland Surgery for Pleomorphic Adenoma: A 4 Year Prospective Study of 40 Cases

Biswal¹,

Sebastian²

2018

AIMDR

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“…The main aim is to avoid any damage to facial nerve that may cause facial disability. 7 It supplies the muscles of facial expression and holds an important position in post-operative tenure as facial paralysis poses a deep anatomical, functional, and psychological impact on the welfare of patient. Parotid gland has a very intimate relationship with the terminal branches of facial nerve, the later passing between the superficial and deep lobes of the gland.…”

Section: Original Articlementioning

confidence: 99%

Superficial Parotidectomy by Retrograde approach through Marginal Mandibular Nerve Dissection

Hussain

Farid

Uddin

2019

JIMDC

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A B S T R A C TBackground: Parotid gland is most commonly involved in tumors, comprising about 80% of the salivary gland neoplasms. Majority of parotid tumors are benign in nature, the most common being pleomorphic adenoma. Superficial Parotidectomy is the preferred treatment option, using either anterograde or retrograde approach. The objective of this study was to determine the post-operative facial nerve status and other complications following superficial parotidectomy by retrograde dissection for benign lesions of parotid gland. Material and Methods: This prospective clinical study included a total of 22 patients who had superficial Parotidectomy by retrograde technique involving marginal mandibular nerve dissection. These patients were studied post-operatively for facial nerve status, Frey's Syndrome, wound infection and salivary fistula. Results: Out of a total of 22 patients, 54.54% developed temporary facial palsy on ipsilateral angle of mouth and all of them recovered by the end of 3 months post-surgery. Two patients (9.09%) developed salivary gland fistula and both of them healed spontaneously within two weeks. Frey's Syndrome and wound infection were not seen in any of the patients included in the study. Histopathology of these lesions revealed pleomorphic adenoma (n=20) and Warthin's tumor (n=2), respectively. Conclusion: The use of marginal mandibular nerve as a landmark for retrograde dissection of facial nerve in superficial Parotidectomy is a reliable method to ensure lower percentage of facial nerve injury and associated complications.

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“…It is seen more frequently in the fourth and fifth decades of life, particularly in women (1). Pleomorphic adenoma-a benign tumor-occurs when epithelial and myoepithelial cells are organized in different morphological systems (2).…”

Section: Introductionmentioning

confidence: 99%

Recurrent Parotid Pleomorphic Adenomas: Our Clinical Experience

Kümüş

İkiz

Sarıoğlu

et al. 2016

Turk Arch Otorhinolaryngol

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Objective: The aim of our study was to present our findings in a series of patients who were treated for recurrent parotid pleomorphic adenoma with their clinical, surgical, and follow-up information and to discuss them in light of the recent literature. Methods:Eleven patients who had revision surgery for recurrent pleomorphic adenoma at our institution were retrospectively analyzed for the clinical and radiological features of their lesions, surgery type, facial nerve management, and follow-up period.

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Superficial Parotidectomy Versus Retrograde Partial Superficial Parotidectomy in Treating Benign Salivary Gland Tumor (Pleomorphic Adenoma)

Cited by 56 publications

References 30 publications

Retrograde Facial Nerve Dissection Using Zygomatic Branch as Landmark in Parotid Gland Surgery for Pleomorphic Adenoma: A 4 Year Prospective Study of 40 Cases

Retrograde Facial Nerve Dissection Using Zygomatic Branch as Landmark in Parotid Gland Surgery for Pleomorphic Adenoma: A 4 Year Prospective Study of 40 Cases

Superficial Parotidectomy by Retrograde approach through Marginal Mandibular Nerve Dissection

Recurrent Parotid Pleomorphic Adenomas: Our Clinical Experience

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