Article
Diagnosis and surgical treatment of benign tumours of the parotid gland at the Department of Otorhinolarygology, University of Szeged
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Authors
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Enikő Madaras
- Department of Otorhinolaryngology Head and Neck Surgery, University of Szeged, Szeged, Hungary
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Miklós Csanády
- Department of Otorhinolaryngology Head and Neck Surgery, University of Szeged, Szeged, Hungary
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József Jóri
- Department of Otorhinolaryngology Head and Neck Surgery, University of Szeged, Szeged, Hungary
| Published: | April 19, 2011 |
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Outline
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Introduction: Authors report the diagnosis, histopathological types and surgical treatment of benign parotid gland tumours at the Department of Otorhinolaryngology, University of Szeged.
Material and methods: 106 benign parotid gland tumours were analysed between 2005–2009. Clinical diagnosis of the benign lesions was established by fine-needle aspiration and sonography in all patients. The majority of the patients underwent superficial and some patients total parotidectomy with identification and preservation of the facial nerve.
Results: 92 patients healed without any complication. 13 postoperative complications occured: 4 (3%) temporary incomplete facial nerve palsy, 1 (1%) suture dehiscence, 2 (2%) seroma, 7 (6,5%) salivary fistula, 1 (1%) Frey’s syndrome like symptoms. All these patients healed after treatment. Tumour recurrence occured in 1 patient who was reoperated. The pathological analysis showed pleomorphic adenoma (58%), and Warthin’s tumour (32%), as the most common pathological types.
Conclusion: Authors experience demonstrate that superficial and rarely the total parotidectomy with identification and preservation of branches of the facial nerve is sufficient and safe method for resection of benign tumours of the parotid gland. Sonography and fine-needle aspiration provides appropriate and sufficient information for the diagnosis.
