A 25 year review of parotid surgery.
At a single institution over 25 years, 110 patients were operated upon for a mixture of parotid disease. The mean duration of symptoms for benign disease was 40.8 months compared with 15.6 months for malignant disease. Pain was a significant feature of malignant parotid disorders (46.1% compared with 17.8% for benign conditions). The pathology of these masses was diverse, with pleomorphic adenoma being the commonest (44%). Superficial parotidectomy was the commonest procedure employed (69/110) with local excision being performed only prior to 1984 (15/110). There were five cases of permanent facial palsy, all following radical resection for malignancy. One patient developed Frey's syndrome. Recurrence rate for pleomorphic adenomas was 7/48 (15%), three following enucleations prior to 1984. In primary malignancy of the parotid, 3/21 (14%) developed recurrences. Parotid tumours have a low incidence. Surgery for these tumours can be safely performed by those with a special interest in parotid surgery.
Zbar
A P
AP
Department of Surgery, St Vincent's Hospital, Dublin.
Hill
A D
AD
Shering
S G
SG
Rafferty
M A
MA
Moriarty
M
M
McDermott
E W
EW
O'Higgins
N J
NJ
D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007494:Ireland / Q000453:epidemiology; D008297:Male; D010305:Parotid Diseases / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D010307:Parotid Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery; D012042:Registries; D013514:Surgical Procedures, Operative / Q000009:adverse effects / Q000706:statistics & numerical data*; D015996:Survival Rate