Parotidectomy in the treatment of pleomorphic adenoma -- analysis of long-term results.
CONCLUSIONS
Parotidectomy is an efficient surgical treatment modality for pleomorphic adenoma of the parotid gland, although some morbidity may occur. In this study, the median time interval between primary surgery and the presentation of the recurrent tumor was observed to be 14.4 years.


OBJECTIVE
Analysis of the long-term results of patients undergoing lateral or total parotidectomy as first-line treatment of parotid pleomorphic adenoma at our institution between the years 1979 and 1996.


METHODS
The individual patient charts of 230 patients were feasible for retrospective analysis in 2007.


RESULTS
In all, 42 patients had dysfunction of the facial nerve after the primary surgery, but only 14 of them had permanent dysfunction. A recurrent tumor occurred in nine cases (3.9%). The time interval between primary surgery and the first recurrence ranged from 7.1 to 24.5 years. Recurrent tumors were treated with surgery, two patients received additional radiotherapy.
Silvoniemi
Antti
A
Department of Otorhinolaryngology–Head and Neck Surgery, Turku University Hospital, University of Turku, Finland. anmisi@utu.fi
Pulkkinen
Jaakko
J
Grénman
Reidar
R
D008949:Adenoma, Pleomorphic / Q000453:epidemiology / Q000532:radiotherapy / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D002648:Child; D015897:Comorbidity; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000706:statistics & numerical data; D005158:Facial Paralysis / Q000453:epidemiology / Q000209:etiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000453:epidemiology* / Q000532:radiotherapy / Q000601:surgery; D010306:Parotid Gland / Q000601:surgery; D010307:Parotid Neoplasms / Q000453:epidemiology / Q000532:radiotherapy / Q000601:surgery*; D018714:Radiotherapy, Adjuvant; D012189:Retrospective Studies; D013547:Sweating, Gustatory / Q000453:epidemiology; D016896:Treatment Outcome; D055815:Young Adult