APPROACH TO PAROTID GLAND MASSES: OUR CLINICAL RESULTS
1Sütçü İmam Üniversitesi Tıp Fakültesi, KBB BBC Anabilim dalı, Kahramanmaraş, Türkiye Objective: We aimed to evaluate clinical presentations, histopathological diagnosis, surgical treatment modalities and complications of patients operated for a parotid gland mass.Methods: Medical records of 93 patients who operated for a parotid gland mass between 2011 and 2019 years evaluated retrospectively.
Results: 54 (59.2%) of these patients were male and 39 (40.8%) were female. The mean age of the patients was 44.17±13.20. Tumor was located right sided in 48, left sided in 44 and bilateral in one patient. In 65 patients superficial parotidectomy, in 19 patients total parotidectomy, in 8 total parotidectomy + neck dissection and in two patients radical parotidec¬tomy were used as surgical procedure. Histopathological diagnosis was benign in 68 patients, malign in 23 patients and non-neoplastic in 2 patients. For benign tumors the most common histopathology was pleomorphic adeno¬ma in 43 (51.8%) patients, and the second was Whartin tumor in 16(20.6%) patients. The other benign tumors were seen in 9 patients. mucoepidermoid carcinoma was seen the most common malign tumor. In eight patients with malign tumors neck dissection was performed simultane¬ously with parotidectomy. Complication ratio was 16.1% (15 patient) and facial paresis was the most common complication.
Conclusion: The majority of parotid tumors are benign and surgery is the treatment of these. Superficial parotidectomy is the most used surgical pro¬cedure and has low complication rate. Histopathological diagnosis, location of the mass, tumor stage, facial nerve invasion and the presence of palpable lymph node on the neck play an important role in the planning of the surgery. Superficial, total or radical parotidectomy should be applied in malignant parotid tumors. In cases of malignant parotid tumors, neck dissection should be added to the treatment.
Keywords : Parotid tumors, histopathology, surgery