title: Parotidectomy for Benign Parotid Tumors.
abstract: Parotidectomy for benign tumors is undergoing constant evolution. The potential for recurrence and malignant transformation of pleomorphic adenomas creates complexities that have forced head and neck surgeons to undertake more comprehensive parotid surgery with facial nerve dissection. This approach carries inherent morbidities, including facial nerve injury, Frey syndrome, and facial asymmetry, that have to be addressed. Extracapsular dissection is compared with conventional superficial parotidectomy; surgical histologic findings are discussed as well as outcome data. More novel approaches are discussed as well. This article provides a systematic approach to benign parotid tumor surgery.
authors.affiliation: Department of Head and Neck Surgery, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, USA; Center for Advanced Parotid & Facial Nerve Surgery, 9401 Wilshire Boulevard, Suite 650, Beverly Hills, CA 90212, USA. Electronic address: dr@larianmd.com.
authors.forename: Babak
authors.initials: B
authors.lastname: Larian
mesh_terms: D008949:Adenoma, Pleomorphic / Q000532:radiotherapy*; D020220:Facial Nerve Injuries; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000532:radiotherapy*; D010306:Parotid Gland / Q000473:pathology / Q000601:surgery*; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications; D013547:Sweating, Gustatory
keywords: Deep lobe parotid tumor; Extracapsular dissection; Facial nerve paresis; Frey's syndrome; Microparotidectomy; Parotidectomy; Pleomorphic adenoma; Recurrent pleomorphic adenoma