title: Clinical outcome after surgery for 75 patients with parotid sialadenitis.
abstract: 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.
authors.affiliation: 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
authors.forename: Rajan S
authors.initials: RS
authors.lastname: Patel
authors.forename: Tsu-Hui H
authors.initials: TH
authors.lastname: Low
authors.forename: Kan
authors.initials: K
authors.lastname: Gao
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: O'Brien
mesh_terms: 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