title: Pleomorphic adenoma of the parotid gland: a 13-year experience of consequent management by lateral or total parotidectomy.
abstract: Optimal surgical management of parotid pleomorphic adenoma is important because of a considerable risk of tumour recurrence and complications. Our series of primary surgery cases with standardised parotidectomy technique in a university hospital were evaluated. Medical records of 295 patients treated from 1987 to 1999 were reviewed, and 171 patients answered a questionnaire about long-term sequelae. Sixty-two patients reporting major complications were re-examined in the hospital. At a mean follow-up of 8 years, one patient (0.6%) re-appeared with a recurrence. Twenty-four percent left the hospital with a partial and 3% with a complete paresis. Only 5% developed a permanent partial paresis, whereas a permanent total paresis was not seen. Half of the patients indicated gustatory sweating, but treatment was required in only 6%. Other major permanent complications were not seen. Treatment of pleomorphic adenoma by standardised parotidectomy in a university hospital demonstrates favourable results with low perioperative and long-term morbidity, as well as minimal risk of tumour relapse.
authors.affiliation: Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, 50924, Cologne, Germany. orlando.guntinas@uni-koeln.de
authors.forename: Orlando
authors.initials: O
authors.lastname: Guntinas-Lichius
authors.forename: Carsten
authors.initials: C
authors.lastname: Kick
authors.forename: J Peter
authors.initials: JP
authors.lastname: Klussmann
authors.forename: Markus
authors.initials: M
authors.lastname: Jungehuelsing
authors.forename: Eberhard
authors.initials: E
authors.lastname: Stennert
mesh_terms: D008949:Adenoma, Pleomorphic / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000601:surgery*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome