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Total parotidectomy—a routine treatment for parotid gland swellings?

Published online by Cambridge University Press:  29 June 2007

E. Alajmo ,
G. Polli  and
W. De Meester
E. Alajmo*
Affiliation:
Department of Otolaryngology of the University of Florence, Italy—Head: Professor Ettore Alajmo
G. Polli
Affiliation:
Department of Otolaryngology of the University of Florence, Italy—Head: Professor Ettore Alajmo
W. De Meester
Affiliation:
Department of Otolaryngology of the University of Florence, Italy—Head: Professor Ettore Alajmo
*
Professor Ettore Alajmo, Department of Otolaryngology, Policlinico di Careggi, Viale Morgagni 85, 50134 Florence, Italy
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Abstract

The results of 25 years of quasi-routine total parotidectomy performance are shown. At the Department of Otolaryngology of the University of Florence, 582 patients were treated as follows: on 527 occasions by total parotidectomy with facial never preservation; 24 occasions by lateral lobectomy; 27 occasions by total parotidectomy with removal of the whole facial nerve; four times by enucleo-resection of the disease. Benign tumours were 378; primary and metastatic malignant tumours—100; non tumoral lesions—104.

The benign tumours follow-up showed three recurrences only (two pleomorphic adenomas—one of them proved to be an adenoid-cystic carcinoma, and one monomorphic adenoma, which also proved to be an adenoid-cystic carcinoma), respectively 6, 6 and 8 years later. The malignant tumours were also treated by total parotidectomy with adequate management both of the facial nerve and the neck lymph nodes. The results thoroughly justify the nerve preservation, when preserved.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 2 , February 1989 , pp. 181 - 186
Copyright
Copyright © JLO (1984) Limited 1989

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References

Alajmo, E. (1984) Sulla reale utilità della biopsia intraoperatoria al congelatore nella patologia parotidea. Acta Otorhinolaryngologica Italica, 4: 469–474.Google Scholar
Alajmo, E. and Micheli-Pellegrini, V. (1965) Le scialectasie con parotite recidivante; considerazioni sui reperti istopatologici e sulle indicazioni per la parotidectomia. Bollettino delle Malattie dell'Orechio, Gola, Naso, 83: 377–399.Google Scholar
Alajmo, E. and Polli, G. (1976) La chirurgia della parotide e la sindrome di Frey. II Policlinico—Sezione Chirurgica, 83: 661–668.Google Scholar
Behars, O. H., Lewis, B. and Devine, K. D. (1960) Surgical management of parotid lesions. Archives of Surgery, 80: 890–905.Google Scholar
Blanck, C., Eneroth, C. M. and Jakobsson, P. A. (1974) Malignancy in pleomorphic adenoma. A clinical and microspectrophotometric study. Opuscola Medica, 19: 30.Google Scholar
Catania, V. C., Galante, E., Bandieramonte, G. and Salvadori, B. (1974) Risultati della terapia chirurgica di 622 casi di tumori delle ghiandole salivari. Tumori, 60: 307–316.CrossRefGoogle Scholar
Delarue, J. (1965). Les ‘tumeurs mixtes’ plurifocales de la glande parotide. Les Annales d'Anatomie Pathologique, 1: 34–58.Google Scholar
Dindzans, L. J. and Van Nostrand, A. W. P. (1984) The accuracy of frozen section diagnosis of parotid lesions. Journal of Otolaryngology, 13: 382–386.Google ScholarPubMed
Donovan, D. T. and Conley, J. J. (1984) Capsular significance in parotid tumor surgery: reality and myths of lateral lobectomy. Laryngoscope, 94: 324–329.CrossRefGoogle ScholarPubMed
Evans, R. W. and Cruickshank, A. H. (1970) Epithelial tumors of the salivary glands, W. B. Saunders Co., Philadelphia, London, Toronto.Google ScholarPubMed
Foote, F. W. and Frazell, E. L. (1953) Tumors of the major salivary glands. Cancer, 6: 1065–1133.3.0.CO;2-0>CrossRefGoogle ScholarPubMed
Gant, T. D., Hovey, L. M. and Williams, C. (1981) Surgical management of parotid gland tumors. Annals of Plastic Surgery, 6: 389–392.CrossRefGoogle ScholarPubMed
Grage, T. B., Loben, P. and Shahon, D. B. (1961) Benign tumors of the major salivary glands. Surgery, 50: 626–633.Google ScholarPubMed
Hillel, A. D. and Fee, W. E. Jr. (1983) Evaluation of frozen section in parotid gland surgery. Archives of Otolaryngology, 109: 230–232.CrossRefGoogle ScholarPubMed
Lanier, V. C. Jr., McSwain, B. and Rosenfeld, L. (1972) Mixed tumors of salivary glands: a 44 year study. South Medical Journal, 66: 1485–1488.CrossRefGoogle Scholar
Lathrop, F. D. (1962) Benign tumors of the parotid gland; a twenty-five years review. Laryngoscope, 72: 992–1006.CrossRefGoogle Scholar
Micheau, C. (1974) Données anatomo-pathologiques recentes surles tumeurs parotidiennes. Nuovo Archivio Italiano di Otologia, Rinologia e Laringologia, 2: 95–105.Google Scholar
Miller, R. H., Calcaterra, T. C. and Paglia, D. E. (1979) Accuracy of frozen section diagnosis of parotid lesions. Annals of Otology, Rhinology and Laryngology, 88: 573–576.CrossRefGoogle ScholarPubMed
Patey, D. H. and Thackray, A. C. (1958) The treatment of parotid tumours in the light of a pathological study of parotidectomy material. British Journal of Surgery, 45: 477–487.CrossRefGoogle ScholarPubMed
Rehrmann, A., Scheunemann, H. and Hausamen, J. E. (1972) Ergebnisse der Konservativen Parotidektomie beim Pleomorphen Adenom. Bericht über 110 Fálle. Vortschritte Kiefer Gesicht-schrift, 15: 110–111.Google Scholar
Seifert, G., Bull, H. G. and Donath, K. (1980) Histologic subclassification of the cystadenolymphoma of the parotid gland. Analysis of 275 cases. Virchows Archiv. Abt, Pathological Anatomy and Histopathology, 388: 13–38.CrossRefGoogle ScholarPubMed
Winsten, J. and Ward, G. E. (1957) Mixed tumors of the parotid gland. Surgery, 42: 1029–1035.Google ScholarPubMed
Woods, J. E., Chong, G. C. and Behars, O. H. (1975) Experience with 1360 primary parotid tumors. American Journal of Surgery, 130: 460–462.CrossRefGoogle Scholar