title: Evaluation of 242 consecutive parotidectomies performed for benign and malignant disease.
abstract: Between 1987 and 1992, one surgeon performed 242 parotidectomies in 229 patients. Among 97 patients with benign disease, pleomorphic adenoma (46) and sialo-adenitis (28) predominated, while metastatic melanoma (22) and squamous cell carcinoma (21) were the most common diagnoses among 132 patients with malignancy. The extent of parotidectomies were: 114 'appropriate' resections, 77 complete superficial parotidectomies, 35 near-total conservative and 14 radical total resections. The facial nerve was sacrificed in 19 operations and reconstructed in four. One hundred and five patients had a concomitant neck dissection and 45 patients had adjuvant radiotherapy. Postoperative facial nerve function was normal in 90% of patients with localized tumours and 55% of patients overall. Patients with sialo-adenitis or deep lobe tumours and those having a neck dissection were at greatest risk of facial weakness despite nerve preservation. At a median follow up of 34 months, 13 patients had developed tumour recurrence and attempts at salvage surgery have generally been disappointing.
authors.affiliation: Department of Head and Neck Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
authors.forename: C J
authors.initials: CJ
authors.lastname: O'Brien
authors.forename: V B
authors.initials: VB
authors.lastname: Malka
authors.forename: M
authors.initials: M
authors.lastname: Mijailovic
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy; D005155:Facial Nerve Diseases / Q000453:epidemiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology; D009517:New South Wales / Q000453:epidemiology; D010305:Parotid Diseases / Q000453:epidemiology / Q000601:surgery*; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000453:epidemiology / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies