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Extracapsular dissection as sole therapy for small low‐grade malignant tumors of the parotid gland
Author(s) -
Mantsopoulos Konstantinos,
Koch Michael,
Iro Heinrich
Publication year - 2017
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.26482
Subject(s) - medicine , parotid gland , dissection (medical) , neck dissection , salivary gland , retrospective cohort study , surgery , lesion , radiology , pathology , carcinoma
Objective The aim of the study was to investigate whether extracapsular dissection of a primarily unsuspected lesion in the parotid gland could be oncologically sufficient for carefully selected cases of parotid gland malignomas. Study Design Retrospective clinical study. Methods The records of all patients treated for primary malignant tumors of the parotid gland solely by means of extracapsular dissection between 2006 and 2013 were studied retrospectively. Patients with manifestation of malignant tumors in the parotid gland that were not of primary salivary gland origin (squamous cell carcinomas, lymphomas, melanomas) or who had had revision surgery or other malignant tumors in their history, as well as patients with insufficient data, were excluded from our study sample. Results Nine patients, all with low‐grade parotid malignancies, were detected. Our study showed acceptable oncologic and functional outcomes throughout. Conclusion Our study was able to show very encouraging preliminary results following primary extracapsular dissection as sole surgical therapy for carefully selected low‐stage, low‐grade, inferiorly located lesions in patients with high compliance. Level of Evidence 4. Laryngoscope , 127:1804–1807, 2017