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Superficial or partial superficial parotidectomy for the treatment of primary benign parotid tumors
Author(s) -
Mlees Mohamed Ali,
Elbarbary Ahmed Hussieny
Publication year - 2020
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.25970
Subject(s) - medicine , facial nerve , surgery , facial paralysis , parotidectomy , paralysis , parotid gland , pathology
Objective The extent of surgery in benign superficial parotid tumors has no strong evidence‐based consensus. Partial superficial parotidectomy (PSP) is a popular choice among surgeons. We retrospectively evaluated the hypothesis that it carries similar efficacy and greater safety than superficial parotidectomy (SP). Patients and Methods Between 2010 and 2016, 84 patients with benign superficial parotid tumors were enrolled in the study. Deep lobe and recurrent tumors were excluded. The patients were treated by SP; (40 patients) or PSP; (44 patients). The operative and postoperative morbidity, tumor recurrence, operative time, and length of hospitalization were analyzed. Results There was no significant difference regarding patients or tumors in baseline data. PSP showed significantly shorter operative time ( P = .022), and hospital stay ( P = .001), as well as significantly lower frequencies of postoperative transient facial nerve paralysis and Frey's syndrome, ( P = .042 for each). Permanent facial dysfunction was nonsignificantly greater in SP. No tumor recurrence was detected in either group after a median follow‐up of 7 years. Conclusions PSP is a quicker and less extensive procedure. It was associated with a shorter hospital stay and fewer complications especially transient facial paralysis and Frey's syndrome with a recurrence rate comparable to that of SP.