title: A comparison of one hundred and fifty consecutive parotidectomies for tumours and inflammatory disease.
abstract: The demographic profile and complications are compared and contrasted for 150 consecutive parotidectomies. All patients were under the care of one surgeon (JDL) over a twenty-year period (1977-1997). The case records and contemporaneous database were analysed retrospectively. 111 (74%) procedures were performed for tumours and 39 (26%) for inflammatory disease. The incidence of unexpected permanent facial nerve palsy was 1.8% in the tumour group and zero in the inflammatory group. The overall unexpected palsy rate was 1.3%. Transient paralysis was more common in the inflammatory group than the tumour group (61.5% compared with 33.3%, P<0.02) and was more likely to be panfacial (48.7% compared with 17.1%, P<0.0002). The overall incidence of Frey's syndrome was less than 20% and both salivary fistulae and sialocoeles were infrequent.
authors.affiliation: Maxillofacial Unit, King's College Hospital, London, UK.
authors.forename: A B
authors.initials: AB
authors.lastname: Moody
authors.forename: C M
authors.initials: CM
authors.lastname: Avery
authors.forename: J
authors.initials: J
authors.lastname: Taylor
authors.forename: J D
authors.initials: JD
authors.lastname: Langdon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000009:adverse effects*; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000601:surgery*; D010309:Parotitis / Q000601:surgery*; D012189:Retrospective Studies; D012467:Salivary Gland Fistula / Q000209:etiology; D013223:Statistics as Topic; D013547:Sweating, Gustatory / Q000209:etiology