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Review
. 2016 Apr;49(2):415-24.
doi: 10.1016/j.otc.2015.10.007. Epub 2016 Feb 17.

Parotidectomy for Parotid Cancer

Jennifer R Cracchiolo  1 , Ashok R Shaha  2
Affiliations
Review

Parotidectomy for Parotid Cancer

Jennifer R Cracchiolo et al. Otolaryngol Clin North Am. 2016 Apr.

Abstract

Parotidectomy for parotid cancer includes management of primary salivary cancer, metastatic cancer to lymph nodes, and direct extension from surrounding structures or cutaneous malignancies. Preoperative evaluation should provide surgeons with enough information to plan a sound operation and adequately counsel patients. Facial nerve sacrifice is sometimes required; but in preoperative functioning nerves, function should be preserved. Although nerve involvement predicts poor outcome, survival of around 50% has been reported for primary parotid malignancy. Metastatic cutaneous squamous cell carcinoma is a high-grade aggressive histology whereby local control for palliation with extended parotidectomy can be achieved; however, overall survival remains poor.

Keywords: Accessory parotid gland carcinoma; Facial nerve; Parotid cancer; Parotidectomy.

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