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Trends in parotidectomy over 30 years in an Australian tertiary care center
Author(s) -
Subramaniam Narayana,
Gao Kan,
Gupta Ruta,
Clark Jonathan Robert,
Low TsuHui Hubert
Publication year - 2020
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.26335
Subject(s) - medicine , parotidectomy , mucoepidermoid carcinoma , pleomorphic adenoma , malignancy , incidence (geometry) , facial nerve , tertiary care , surgery , retrospective cohort study , histology , carcinoma , salivary gland , physics , optics
Abstract Background Nomenclature, classification, and management of parotid tumors are constantly evolving; this study was performed to identify temporal trends in histology and facial nerve sacrifice in parotidectomy during a 30‐year period (1987‐2018). Methods Retrospective analysis of patients treated in a single tertiary‐care institution during this time period was performed with analysis of temporal trends. Results Two thousand eight hundred and fifty‐seven parotidectomies were performed; pleomorphic adenoma was the most common histology (34.3%), followed by skin cancer metastases (32.3%). Significant trends noted were increasing age ( P < .001), fewer parotidectomies for inflammatory lesions ( P < .001), reduced incidence of mucoepidermoid carcinoma ( P = .048), increasing incidence of parotidectomy for cutaneous malignancies ( P < .001), and reduced facial nerve sacrifice ( P = .034). Conclusion In this contemporary series of parotid pathology, metastatic cutaneous malignancies accounted for a third of cases. Despite reducing facial nerve sacrifice in parotid disease, it is still required in approximately 15% of malignancy and needs to be discussed with all patients preoperatively.