The extracapsular dissection technique in the management of benign tumours of the parotid gland: our experience in 194 patients.
| Autor: | Allevi, Fabiana, Borzi, Patrizia, Valsecchi, Federico, Cucurullo, Marco, Bolognesi, Federico, Rabbiosi, Dimitri, Biglioli, Federico |
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| Předmět: |
PAROTID gland surgery
FREY'S syndrome CANCER relapse DISEASE management HUMAN dissection RETROSPECTIVE studies TREATMENT effectiveness DESCRIPTIVE statistics OPERATIVE surgery VETERINARY dissection SURGICAL complications PAROTID gland tumors MEDICAL records ACQUISITION of data FACIAL nerve PAROTID glands |
| Zdroj: | Journal of Laryngology & Otology; May2024, Vol. 138 Issue 5, p565-569, 5p |
| Abstrakt: | Objective: The indications for and approaches to extracapsular dissection for parotid gland benign tumours are debated in the literature. This study retrospectively evaluates a single site's short- and long-term results with a standardised extracapsular dissection approach to benign parotid tumours. Methods: A retrospective review of a single institution's records identified cases with extracapsular dissection as the primary surgery for non-recurrent benign parotid tumours. A total of 194 eligible patients were identified (124 women and 70 men, age 47.75 ± 15.62 years). Pre-, intra- and post-surgical data were reviewed for complications and recurrences. Results: Histology reported pleomorphic adenoma in 165 patients, Warthin's tumour in 28 patients and both in one patient. Mean follow up was 36 ± 16 months (range, 12–84 months). The incidences of complications following extracapsular dissection were temporary (n = 13) and permanent (n = 0) facial nerve dysfunction, Frey's syndrome (n = 1)) and recurrences (n = 5). These rates align with prior literature. Conclusion: This case series shows how a standardised approach to extracapsular dissection for benign parotid tumours yields favourable results, supporting a progressive change of strategy towards reduced invasiveness. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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