Parotidectomy: a review of 112 patients treated at a teaching hospital in Pakistan.
OBJECTIVE
The purpose of this study was to analyze the clinical presentation, histopathology and complications following parotid surgery.


METHODS
We retrospectively reviewed the charts of 112 patients who underwent parotidectomy from January 2000 to February 2010. Data including age, sex, clinical signs and symptoms, histology and complication were collected from medical records.


RESULTS
Of the total, 82 (74%) had benign lesions, 30 (36%) had malignant tumors. The most common benign tumor was pleomorphic adenoma (57%), and the most common malignant tumor was mucoepidermoid carcinoma (16%). Analysis of the correlation between fine-needle aspiration cytology and final histology revealed that fine-needle aspiration sensitivity, specificity and accuracy to 86.6%, 97.6% and 94.6% respectively. The most common complication following parotidectomy was transient facial nerve palsy (18.7%).


CONCLUSIONS
Superficial parotidectomy is associated with a decrease incidence of transient facial nerve dysfunction compared with that of total parotidectomy. High grade or advanced tumour is a predictor of poor outcome which may require adjuvant therapy.
Division of Otorhinolaryngology-Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan. naeem.sultan@gmail.com
Naeem Sultan
NS
Ali
Ahmad
A
Nawaz
Shaheryar
S
Rajput
Mubasher
M
Ikram
D000236:Adenoma / Q000473:pathology / Q000601:surgery*; D044963:Biopsy, Fine-Needle; D002277:Carcinoma / Q000473:pathology / Q000601:surgery*; D005158:Facial Paralysis / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010154:Pakistan; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D013547:Sweating, Gustatory / Q000209:etiology; D016896:Treatment Outcome