title: Classification of parotidectomies: a proposal of the European Salivary Gland Society.
abstract: The objective of this study is to provide a comprehensive classification system for parotidectomy operations. Data sources include Medline publications, author's experience, and consensus round table at the Third European Salivary Gland Society (ESGS) Meeting. The Medline database was searched with the term "parotidectomy" and "definition". The various definitions of parotidectomy procedures and parotid gland subdivisions extracted. Previous classification systems re-examined and a new classification proposed by a consensus. The ESGS proposes to subdivide the parotid parenchyma in five levels: I (lateral superior), II (lateral inferior), III (deep inferior), IV (deep superior), V (accessory). A new classification is proposed where the type of resection is divided into formal parotidectomy with facial nerve dissection and extracapsular dissection. Parotidectomies are further classified according to the levels removed, as well as the extra-parotid structures ablated. A new classification of parotidectomy procedures is proposed.
authors: Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Mas Casanovas, 90, 08041, Barcelona, Spain. mquer@santpau.cat.
authors: M
authors: M
authors: Quer
authors: Department of Otorhinolaryngology - Head and Neck Surgery, Jena University Hospital, Jena, Germany.
authors: O
authors: O
authors: Guntinas-Lichius
authors: Department of Otorhinolaryngology - Head and Neck Surgery, Geneva University Hospitals, Geneva, Switzerland.
authors: F
authors: F
authors: Marchal
authors: Department of Otorhinolaryngology - Head and Neck Surgery/Department of Oncology, section Head and Neck Oncology, University Hospitals Leuven/KU Leuven, Leuven, Belgium.
authors: V
authors: V
authors: Vander Poorten
authors: Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital Claude Huriez, Lille, France.
authors: D
authors: D
authors: Chevalier
authors: Department of Otorhinolaryngology - Head and Neck Surgery, University Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Mas Casanovas, 90, 08041, Barcelona, Spain.
authors: X
authors: X
authors: León
authors: Department of Otolaryngology - Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors: D
authors: D
authors: Eisele
authors: Department of Otorhinolaryngology - Head and Neck Surgery, Geneva University Hospitals, Geneva, Switzerland.
authors: P
authors: P
authors: Dulguerov
mesh_terms: D002965:Classification; D003226:Congresses as Topic; D032921:Consensus; D005060:Europe; D005154:Facial Nerve / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection / Q000145:classification / Q000379:methods; D010306:Parotid Gland / Q000473:pathology / Q000601:surgery; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery
keywords: Extracapsular resection; Parotid benign tumors; Parotid gland; Parotid gland surgery; Parotid malignant tumors; Parotid neoplasm; Parotid tumors; Parotidectomy; Parotidectomy classification