Complications of superficial parotidectomy versus extracapsular lumpectomy in the treatment of benign parotid lesions.
A total of 46 patients with benign parotid gland tumours have been operated upon between 1979 and 1989 in the Department of Otolaryngology at Leicester Royal Infirmary. Thirty-one were pleomorphic adenomas, six Warthin's tumours and nine miscellaneous tumours or tumour-like lesions. Extracapsular lumpectomy without facial nerve preparation was used in 31 cases (67%) and superficial parotidectomy in 15 cases (33%). One case of permanent partial facial palsy and one recurrence occurred in patients who underwent superficial parotidectomy. Frey's syndrome occurred in 40% of patients undergoing superficial parotidectomy. No permanent palsy, recurrence or Frey's syndrome occurred after extracapsular lumpectomy. These results suggest that extracapsular lumpectomy may reduce the morbidity rate in carefully selected patients.
Prichard
A J
AJ
Department of Otolaryngology/Head and Neck Surgery, Leicester Royal Infirmary, UK.
Barton
R P
RP
Narula
A A
AA
D000235:Adenolymphoma / Q000601:surgery*; D008949:Adenoma, Pleomorphic / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D006965:Hyperplasia / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000473:pathology / Q000601:surgery*; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology*; D013514:Surgical Procedures, Operative / Q000379:methods