title: Parotid surgery: review of 107 tumors (1990-2002).
abstract: Tumors of the parotid gland are uncommon. We performed a retrospective study to analyze the clinical, diagnostic, and therapeutic features of a group of patients. We reviewed the clinical and the surgical records of a series of 109 patients who were recommended for surgery because of parotid tumors by the Plastic and Reconstructive Service of São João Hospital, Portugal, between 1990 and 2002. The following parameters were evaluated: age, sex, gland afflicted, symptoms, and duration of symptoms, diagnostic procedures, treatment methods, follow-up, and recurrences. Pleomorphic adenoma was the most common tumor (63.5%). In the majority of cases, fine-needle aspiration cytology was used. Swelling was the most frequent clinical finding. In 68.2%, superficial parotidectomy was performed. There were five cases of permanent facial palsy, and 10 patients developed Frey's syndrome. Recurrent disease was seen in six patients. For the majority of tumors, superficial parotidectomy is an effective treatment with acceptable morbidity.
authors.affiliation: Service of Plastic, Reconstructive and Aesthetic Surgery, Hospital de São João, Oporto Medical School, Portugal. pedro.oferreira@mail.pt
authors.forename: Pedro Costa
authors.initials: PC
authors.lastname: Ferreira
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Amarante
authors.forename: Jorge Manuel
authors.initials: JM
authors.lastname: Rodrigues
authors.forename: Carlos José
authors.initials: CJ
authors.lastname: Pinho
authors.forename: Maria Augusta
authors.initials: MA
authors.lastname: Cardoso
authors.forename: Jorge Cruz
authors.initials: JC
authors.lastname: Reis
mesh_terms: D000235:Adenolymphoma / Q000453:epidemiology / Q000601:surgery; D008949:Adenoma, Pleomorphic / Q000453:epidemiology / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000453:epidemiology / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013547:Sweating, Gustatory / Q000209:etiology