Clinical outcome after surgery for 75 patients with parotid sialadenitis.
OBJECTIVE
To analyze the clinical outcome of patients treated surgically for chronic parotid sialadenitis.


METHODS
A retrospective cohort study of patients whose clinicopathologic information had been collected prospectively onto a dedicated head and neck database.


METHODS
Between 1987 and 2006, a total of 75 patients had 78 parotidectomies, 17 superficial and 61 near-total, to treat chronic parotid sialadenitis. The clinicopathologic data including treatment morbidity and outcome were analyzed.


RESULTS
Temporary postoperative facial weakness occurred in 26 (33%) patients, and this was permanent, although partial, in one (1%) patient. There was no significant difference (P > .05) in the incidence of temporary facial nerve neuropraxia in the superficial (35%) and near-total parotidectomy (33%) groups. Recurrence of symptoms was noted in two patients who had undergone near-total parotidectomy and none of the patients who had undergone superficial parotidectomy. Chronic parotid sialadenitis was effectively treated in 97% of patients undergoing parotidectomy.


CONCLUSIONS
Near-total parotidectomy is a safe and efficacious surgical treatment in the management of patients with debilitating severe chronic parotid sialadenitis.
Patel
Rajan S
RS
Sydney Head and Neck Cancer Institute, Sydney Cancer Centre, Royal Prince Alfred Hospital and University of Sydney, New South Wales, Australia. dr_rajan_patel@hotmail.com
Low
Tsu-Hui H
TH
Gao
Kan
K
O'Brien
Christopher J
CJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005152:Facial Muscles / Q000503:physiopathology; D005155:Facial Nerve Diseases / Q000209:etiology / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology / Q000503:physiopathology; D010306:Parotid Gland / Q000503:physiopathology* / Q000601:surgery*; D011183:Postoperative Complications; D012793:Sialadenitis / Q000503:physiopathology* / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods; D016896:Treatment Outcome