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Anales de Otorrinolaringología Mexicana

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2014, Number 2

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Otorrinolaringología 2014; 59 (2)

Parotidectomy: Bibliographic Review and Analysis of Our Results in the Last Six Years

Vázquez-Muñoz MI, Elhendi-Halawa W, Caravaca-García A, Ruiz-Fito R, Rodríguez-Contreras D, Ruiz-Mondejar A
Full text How to cite this article

Language: Spanish
References: 11
Page: 126-132
PDF size: 319.34 Kb.


Key words:

parotid tumors, parotidectomy.

ABSTRACT

Background: Parotid tumors constitute 90% of salivary gland tumors, being mostly benign. The treatment of choice of these tumors is surgery, covering techniques such as partial tumor enucleation or superficial parotidectomy, to total parotidectomy. communicate our results obtained during the last six years.
Patients and method: An statistic, descriptive, restrospective study of 47 patients submitted to parotidectomy at Otorhynolaryngology Service of Hospital Punta de Europa, Algeciras, España, was done from 2007 to 2012. The descriptive study was of frequencies and cross tables among several variables.
Results: Forty-seven patients were submitted to parotidectomy from 2007 to 2012 (68% men). In 66% of cases tumor affected left parotid gland; in 61.7% tumor was located at parotid tale. Fine needle aspiration puncture was made in 55% of patients, with results coincident to the anatomopathological study in 21.3%. The most frequent complications found in our study were temporary facial paralysis and Frey syndrome (23.4% and 10.6%, respectively); other complications such as seromas, hematomas and necrosis of flap were lesser frequent. In 53% of patients there were not short-term complications.
Conclusions: With retroauricular hairline incision there were more cases of seromas than with classical incision (67% vs 33%, respectively), but lower incidence of facial paralysis (18% vs 64%) and Frey’s syndrome (0% vs 100%).


REFERENCES

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  2. Salas Hurtado A, Postigo Díaz J, Sánchez E, Ingunza PP, Torres Vega F. Parotidectomía ambulatoria: experiencia en el Instituto Especializado de Enfermedades Neoplásicas. Acta Cancerol 2006;34:22-24.

  3. Heraldo M, Martin Fragueiro L, Eisenberg G, Echarry R y col. Tratamiento quirúrgico de los tumores de glándulas salivares. Acta Otorrinolaringol Esp 2009;60:340-345.

  4. Granell J, Sánchez-Jara JJ, Gavilanes J, Velasco MJ y col. Manejo de la patología quirúrgica de la glándula parótida: revisión de 54 casos. Acta Otorrinolaringol Esp 2010;61:189-195.

  5. Bussu F, Parrilla C, Rizzo D, Almadori G, et al. Clinical approach and treatment of benign and malignant parotid masses, personal experience. Acta Otorhinolaryngologica Italica 2011;31:135-143.

  6. Takahama Junior A, Paes de Almida O, Kowalsky LP. Neoplasias de parótida: analise de 600 pacientes atendidos em uma única instituicao. Braz J Otorhinolaringol 2009;75:497- 501.

  7. García-Roco Pérez O. Tumores de las glándulas salivares. Su comportamiento en 10 años de trabajo. Rev Cubana Estomatol 2003;40. Figura 2. Imagen intraoperatoria de parotidectomía superficial. Obsérvese la accesibilidad a la glándula parótida que permite la incisión tipo ritidectomía. Figura 3. Resultados estéticos de la incisión tipo ritidectomía. Anales de Otorrinolaringología Mexicana 132 Volumen 59, Núm. 2, marzo-mayo 2014

  8. García Purriños FJ. Trece años de experiencia en parotidectomía parcial superficial como tratamiento de neoformaciones benignas parotídeas. Acta Otorrinolaringol Esp 2011;62:10-13.

  9. Lohuis PJ, Tan ML, Bonte K, van den Brekel MW, et al. Superficial parotidectomy via facelift incisión. Ann Otol Rhinol Laryngol 2009;118:276-280.

  10. González JM, Contreras C, Restuccia G. Síndrome de Frey (revisión de literatura). Acta Odontológica Venezolana 2010;48.

  11. Moreno García C, Serrano Gil H, Monje Gil F, Pérez Herrero C y col. Colgajo de SMAS en la prevención de síndrome de Frey. Rev Esp Cir Oral y Maxilofac 2006;28:182-187.




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Otorrinolaringología. 2014;59