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. 2004 Oct;131(4):407-12.
doi: 10.1016/j.otohns.2004.02.053.

Parotidectomy for primary nonparotid diseases

Caio Plopper  1 , Claudio Roberto Cernea, Alberto Rosetti Ferraz, Luiz Roberto Medina Dos Santos, Adrian Berenguer Regis
Affiliations

Parotidectomy for primary nonparotid diseases

Caio Plopper et al. Otolaryngol Head Neck Surg. 2004 Oct.

Abstract

Objective: To analyze the indications and results of parotid gland resections for patients with primary nonparotid diseases.

Study design and setting: Retrospective analysis of 442 consecutive parotidectomies (76 for primary nonparotid disease) in a referral head and neck surgery service, tertiary care university hospital.

Results: Skin cancer (mainly squamous cell and basal cell carcinomas) was the most common indication for parotidectomy. Superficial parotidectomy with preservation of the facial nerve was the most commonly performed operation (61.8%), with some form of nerve sacrifice necessary in 31.6%. Parotid gland parenchyma and/or lymph nodes were pathologically positive in 46 cases. Neck dissections were carried out in conjunction with parotidectomy in 42 patients (1 patient had had previous neck dissection), of which 16 turned out to be pN+.

Conclusion: Parotidectomy should be considered as part of the surgical treatment of tumors whenever oncologically necessary for appropriate margins, lymph node dissection, and for proper identification and preservation of the facial nerve.

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