[Long-term results of total conservative parotidectomy for pleomorphic adenoma].
OBJECTIVE
Evaluation of the long-term results (10 and 15 years) achieved with total conservative parotidectomy for pleomorphic adenoma.


METHODS
A retrospective analysis of the files of 127 patients with pleomorphic adenoma of the parotid gland consecutively treated with a total conservative parotidectomy at our department from 1970 to 1985. Actuarial analysis (Kaplan Meier method) of survival and local recurrence, as well as overall estimation of immediate and definite postoperative facial paresis and paralysis was performed.


RESULTS
Ten- and fifteen-year survival and local control estimations were 90.8% and 99.1%, respectively. Immediate and permanent facial paresis and paralysis overall estimates were 64.6% and 6.3% and 2.1% and 0%, respectively.


CONCLUSIONS
Total conservative parotidectomy for pleomorphic adenoma results in a very high long term local control associated with a very low rate of facial dysfunction.
Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, Hôpital Laennec, Université Paris V.
O
O
Laccourreye
D
D
Brasnu
R
R
Cauchoix
V
V
Jouffre
P
P
Naudo
H
H
Laccourreye
D008949:Adenoma, Pleomorphic / Q000401:mortality / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D013997:Time Factors
Résultats à long terme de la parotidectomie totale conservatrice pour adénome pléomorphe.