title: Selective deep lobe parotidectomy for pleomorphic adenomas.
abstract: The authors' experience of the selective deep lobe parotidectomy for the treatment of pleomorphic adenomas of the deep parotid lobe is presented. A retrospective analysis of 11 patients treated between 1997 and 2010 was performed; seven were males and four were females, ranging in age from 35 to 51 years. Parameters evaluated included facial nerve weakness, the occurrence of Frey's syndrome, cosmetic outcome, and recurrence. Follow-up ranged from 18 months to 11 years. No major complications, permanent facial nerve weakness, or Frey's syndrome occurred. Four patients developed temporary facial nerve impairments that lasted between 2 and 6 weeks, and two developed a sialocele that healed in 9 days in one case and 12 days in the other. The overall cosmetic assessment was excellent in eight patients, good in two, and satisfactory in the remaining one. No recurrences occurred. The selective deep lobe parotidectomy can be considered an effective technique for the management of deep parotid lobe pleomorphic adenomas. The major advantages of this procedure include a reduction in complications such as facial nerve impairments and Frey's syndrome, and an improved cosmetic outcome.
authors.affiliation: Maxillo-Facial Surgery Division, Head and Neck Department, University Hospital of Parma, Parma, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Sesenna
authors.forename: B
authors.initials: B
authors.lastname: Bianchi
authors.forename: S
authors.initials: S
authors.lastname: Ferrari
authors.forename: C
authors.initials: C
authors.lastname: Copelli
authors.forename: T
authors.initials: T
authors.lastname: Ferri
authors.forename: A
authors.initials: A
authors.lastname: Ferri
mesh_terms: D008949:Adenoma, Pleomorphic / Q000601:surgery*; D000328:Adult; D003560:Cysts / Q000209:etiology; D004210:Dissection / Q000379:methods; D004431:Ear, External / Q000294:innervation; D004954:Esthetics; D005154:Facial Nerve / Q000033:anatomy & histology; D005155:Facial Nerve Diseases / Q000209:etiology; D005158:Facial Paralysis / Q000209:etiology; D000071938:Fasciotomy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles / Q000601:surgery; D010305:Parotid Diseases / Q000209:etiology; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D013547:Sweating, Gustatory / Q000209:etiology
keywords: deep lobe tumors; parotid surgery; parotidectomy; selective deep lobe parotidectomy