KBB-Forum 2018 , Cilt 17, Sayı 1


İsa KAYA, MD; Baha SEZGİN, MD; Fetih Furkan ŞAHİN, MD; Murat Samet ATEŞ, MD; Kerem ÖZTÜRK, MD; Nurullah Serdar AKYILDIZ, MD
Ege Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Hastalıkları Anabilim Dalı, İzmir, Turkey Introduction: Neoplasms of the salivary glands comprise 3-12% of head and neck tumors. Type of surgery to be performed varies according to the location, histopathology and facial nerve involvement, while the most commonly applied methods currently are superficial, total and radical parotidectomy. The aim of this study was to retrospectively evaluate the 434 cases that were operated on for parotid mass between January 2008 and December 2016 in a tertiary university hospital.

Results: Demographic data, histopathologic type, clinical findings and symptoms, type of surgery, early and late complications, recurrence were retrospectively reviewed and evaluated. Postoperative evaluations revealed a non-neoplastic mass in 40 (9.22%) patients , while 37 (8.52%) had malignant neoplastic mass, 344 (79.26%) patients had benign neoplastic mass. and 13 (2.99%) patients had hematolymphoid mass. Recurrence was found in 2 patients (0.048%) who underwent surgery and histopathological diagnosis in all patients with a recurrence was found to be pleomorphic adenoma.

Conclusion: Localization and histopathological features of the tumor are the primary factors determining the type of surgical treatment to be performed. Superficial parotidectomy is an adequate and efficient type of surgery in benign parotid masses and its rates of complication and recurrence are low when performed meticulously. Superficial, total or radical parotidectomy should be performed in malignant tumors and neck dissection and postoperative radiotherapy should be added when necessary. Keywords : Parotidectomy; parotid tumor; fine needle aspiration biopsy of parotid tumors; complications of parotidectomy