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Total parotidectomy—a routine treatment for parotid gland swellings?

Published online by Cambridge University Press:  29 June 2007

E. Alajmo ,
G. Polli  and
W. De Meester
E. Alajmo*
Affiliation:
Department of Otolaryngology of the University of Florence, Italy—Head: Professor Ettore Alajmo
G. Polli
Affiliation:
Department of Otolaryngology of the University of Florence, Italy—Head: Professor Ettore Alajmo
W. De Meester
Affiliation:
Department of Otolaryngology of the University of Florence, Italy—Head: Professor Ettore Alajmo
*
Professor Ettore Alajmo, Department of Otolaryngology, Policlinico di Careggi, Viale Morgagni 85, 50134 Florence, Italy
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Abstract

The results of 25 years of quasi-routine total parotidectomy performance are shown. At the Department of Otolaryngology of the University of Florence, 582 patients were treated as follows: on 527 occasions by total parotidectomy with facial never preservation; 24 occasions by lateral lobectomy; 27 occasions by total parotidectomy with removal of the whole facial nerve; four times by enucleo-resection of the disease. Benign tumours were 378; primary and metastatic malignant tumours—100; non tumoral lesions—104.

The benign tumours follow-up showed three recurrences only (two pleomorphic adenomas—one of them proved to be an adenoid-cystic carcinoma, and one monomorphic adenoma, which also proved to be an adenoid-cystic carcinoma), respectively 6, 6 and 8 years later. The malignant tumours were also treated by total parotidectomy with adequate management both of the facial nerve and the neck lymph nodes. The results thoroughly justify the nerve preservation, when preserved.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 2 , February 1989 , pp. 181 - 186
Copyright
Copyright © JLO (1984) Limited 1989

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