Surgical management of chronic parotid disease.
This is a retrospective review of a single surgeon's experience over a 20-year period, and covers the presentation, investigation, histology, management and complications of the surgical treatment of chronic parotid disease. There were 46 superficial parotidectomies (23 with ductal ligation); 3 required removal of calculi and there was one ductoplasty and one total parotidectomy. There were 28 cases of temporary palsy of the VIIth cranial nerve (55%, mean duration 4 months) and this was predominantly panfacial (79%). There were no cases of permanent palsy. Five patients who initially had a superficial parotidectomy required subsequent total parotidectomy for recurrent disease (11%). We have now adopted a policy of near total parotidectomy for the surgical treatment of chronic parotid disease.
Moody
A B
AB
Department of Maxillofacial Surgery, Royal Surrey County Hospital, Guildford, UK.
Avery
C M
CM
Walsh
S
S
Sneddon
K
K
Langdon
J D
JD
D000293:Adolescent; D000328:Adult; D002648:Child; D002908:Chronic Disease; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D010305:Parotid Diseases / Q000601:surgery*; D010309:Parotitis / Q000601:surgery; D012189:Retrospective Studies; D012465:Salivary Duct Calculi / Q000601:surgery; D013547:Sweating, Gustatory / Q000209:etiology