title: [Reconstructive surgery in huge tumors of salivary glands].
abstract: OBJECTIVE
  Evaluation the outcome after extensive surgery of salivary glands tumors with simultaneous reconstruction of soft tissue and skin defect.
  
  
  METHODS
  In the period 2007-2011, surgery treatments performed in 295 of major salivary glands. 31 patients underwent surgery due to malignant parotid gland tumors: 19 women (61%) and 12 men (39%). In 8 (26%) presented skin infiltration. 10 (32%) patients had facial palsy between II-IV degree (House Brackmann scale). The radiographic findings in some patients showed infiltration of the deep lobe of parotid gland, external auditory canal, infiltration of mastoid process, skull base and the subtemporal fossa.
  
  
  METHODS
  Of the 31 patients in 13 (42%) reconstruction techniques with muscle cutaneous trapezius flap were applied in 4 (31%) patients. In group of 7 (54%) patients using a muscle flap based on the sterno-cleido-gland, in 2 (15%) patients defects were covered using the free anterior lateral thigh flap.
  
  
  RESULTS
  In all patients, healing proceeded normally. In the operated patients, one patient did not receive radical surgery due to the infiltration of the skull base. Length of hospitalization ranged between 7-21 days. In no case was lost flap, also there was no local complications at the donor.
  
  
  CONCLUSIONS
  The choice of treatment for malignant parotid gland tumors which are usually radioresistant is surgical resection. In patients with extensive tumors with infiltration of neighbouring organs reconstruction with use of distant flaps are recommended. It provides a good oncological and aesthetic result.
authors: Klinika Otolaryngologii i Onkologii Laryngologicznej UM im. K. Marcinkowskiego, ul. Przybyszewskiego 49, 60-355 Poznań, Poland. maciejpabi@poczta.onet.pl
authors: Maciej
authors: M
authors: Pabiszczak
authors: Jacek
authors: J
authors: Banaszewski
authors: Małgorzata
authors: M
authors: Wierzbicka
authors: Joanna
authors: J
authors: Jackowska
authors: Elżbieta
authors: E
authors: Waśniewska
authors: Witold
authors: W
authors: Szyfter
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000473:pathology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012468:Salivary Gland Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome