A prospective study of clinical presentation, management, and post-operative complications of benign parotid swellings
DOI:
https://doi.org/10.18203/2349-2902.isj20192558Keywords:
Parotid tumor, Pleomorphic adenoma, Parotidectomy, Facial nerve palsyAbstract
Background: The incidence of parotid tumours is between 1-3/100000 per year, most of them are benign and 80% benign tumours are pleomorphic adenoma. Their management is more troublesome because of their late presentation, poor economic condition and lack of awareness of health.
Methods: This is a prospective observational study carried out from August 2016 to march 2018 in the Department of General Surgery, S.V.R.R.G.H., Tirupati. Detailed pre-operative workup done operative findings and post-operative complications were noted and biopsy reports analyzed.
Results: Total 30 patients were included in the study of which 28 were pleomorphic adenoma and 2 were Warthin’s tumor. Post-operative complications and histopathology were studied and analyzed.
Conclusions: Pleomorphic adenoma was most common benign tumor. Conservative superficial parotidectomy was the common surgical procedure done. Most common complication was temporary facial nerve palsy. No recurrence was seen in 6 months follow up.
References
Fabian RL. Salivary Glands Oxford Textbook of Surgery. 1994;2:2220-66.
Welton TS. Biographical brevities Stensen’s duct Am J Surg. 1931;14:501.
Mc. Evedy PG. Diseases of the salivary glands. Clin J. 1934;63:334-8.
Williams PL, Dyson M. Salivary Gland. Grays Anatomy. 37th ed. Churchill Livingstone; 1992: 1291-1292.
Sinnatamby CS. Last’s Anatomy, Head Neck & Spine. 10th Edition. Churchill Livingstone, Harcourt Publishers; 2000: 350-351.
Stephen S. Sternmberg. Diagnostic Surgical Pathology. Vol 1. 3rd Edition. 1999: 853-875.
Ungari C, Paparao F, Colangeli W, Iannetti G, parotid gland tumors. Eur Rev Med Pharmacol Sci. 2008;12:321-5.
Afify SE. Carcinoma of major salivary gland. Ann R Coll Surg Engl. 1992;74:186-91.
Golden T. An audit of surgery of parotid Gland. Ann R Coll Surg Engl. 1995;77;188-92.
Patey DH. The treatment of mixed tumors of parotid gland. Br J Surg. 1940;28;29-38.
Dale H. Rice. Malignant Salivary Glands Neoplasm. Salivary Gland disease. Otolaryngologic Clin N Am. 1999;32(5):875-85.
Johns MM III, Westra WH, Califando JA, Eisele D, Koch WM, Sidransky D, et al. Alleotype of Salivary Gland tumors. Cancer Res. 1996;56:1151.
Russel RCG, Williams NS, Chistopher JK. Bulstrode, Bailey & Love’s Short Practice of Surgery. 26th edition. Arnold Publication; 2004: 732.
Califano J, Eisele DW. Benign Salivary Gland neoplasm’s Otolaryngologic. Clin N Am. 1999;32(5):861-73.
Rice DH. Non-inflammatory & non-neoplastic disorder of Salivary Glands. Otolaryngologic Clin N Am. 1999;32(5):835-42.
Bailey H. The treatment of the tumors of the parotid gland. Br J Surg. 1941;28:337-46.
Mc.Gurk M, Hussain K. Role of fine needle aspiration cytology in parotid lump. Ann R Coll Surg Engl. 1997;79:198-202.
Zbaren P, Schar C, Michel. Value of FNAC of parotid Gland masses. Laryngoscope. 2001;111:1989-92.
Anderew U, Hutchins LG, Berg R. Preoperative Computed Tomograph. Scans for Parotid tumors evaluation. Laryngoscope. 2001;111:1984-8.
Patey DH. The present position of parotidectomy in the Surgery of the parotid gland. Arch Middx Hosp. 1954;4:91-105.
Hobsley M, Kirk RM, Williamson RCN. Surgery of Head and Neck. General Surgical Operations. Edinburgh: Churchill Livingstone; 1987: 350-375.
Sinha UK, Matthew Ng. Surgery of the Salivary Glands. Otolaryngologic. Clin N Am. 1999:32(5):887-905.
May M, Schaitin BM. The facial Nerve, Rehabilitation Techniques for acute and long-standing facial paralysis. 2nd edition. Thieme; 2000: 763-765.
Chatterji P. A study of complications of superficial parotidectomy. Indian J Basic Applied Med Res. 2012:1(2):158-64.
Devi J, Talukdar K. Salivary gland neoplasms. IAIM. 2015;2(4):70-7.
Ghosh A, Ghartimagar D, Sathian B, Narasimhan R, Talwar O. Profile of Pleomorphic Adenoma In A Tertiary Care Teaching Hospital In Sub-himalayan Valley. Webmed Central plus Pathol. 2014;5(3):WMCPLS00337.
Shashikala V, Sonia Rani P.B, Alister J Victor Clinicopathological study of Salivary Gland Tumors. Int J Biomed Res. 2016;7(9):621-3.
Al Khtoum N, Qubilat AR, Al Zaidaneen S, Al Mefleh S, Al Qudah A. Clinical characteristics of pleomorphic adenoma of salivary glands among Jordanian patients. J Pak Med Assoc. 2013;63(3):358-60.
Friedrich RE, Li L, Knop J, Giese M, Schmelzle R, Pleomorphic adenoma of the salivary glands. Anticancer Res. 2005;25(3):1703-5.
Correia M, Noronha F P, Audi P, Superficial parotidectomy. Med J DY Patil Univ. 2016;9:600-4.
Klintworth N, Zenk J, Koch M, Heinrich. Postoperative complications after extra capsular dissection of benign parotid lesions with particular reference to facial nerve function, Laryngoscope, 2010;120:484–90.
