Reply to the Letter to the Editor-1 regarding “Extracapsular dissection versus superficial parotidectomy in benign parotid gland tumors: The Vienna Medical School experience”

Head & Neck ◽  
2017 ◽  
Vol 40 (1) ◽  
pp. 217-217
Author(s):  
Boban M. Erovic ◽  
Lorenz Kadletz
Head & Neck ◽  
2016 ◽  
Vol 39 (2) ◽  
pp. 356-360 ◽  
Author(s):  
Lorenz Kadletz ◽  
Stefan Grasl ◽  
Matthäus C. Grasl ◽  
Christos Perisanidis ◽  
Boban M. Erovic

2013 ◽  
Vol 71 (2) ◽  
pp. 410-413 ◽  
Author(s):  
Giovanni Dell'Aversana Orabona ◽  
Paola Bonavolontà ◽  
Giorgio Iaconetta ◽  
Raimondo Forte ◽  
Luigi Califano

2020 ◽  
Vol 66 (2) ◽  
pp. 73-77
Author(s):  
Masahiro Suzuki ◽  
Yuta Nakaegawa ◽  
Tetsuro Kobayashi ◽  
Tomotaka Kawase ◽  
Masakazu Ikeda ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Maria Giulia Cristofaro ◽  
Eugenia Allegra ◽  
Amerigo Giudice ◽  
Walter Colangeli ◽  
Davide Caruso ◽  
...  

The purpose of this study was to investigate the complication rates and effectiveness of extracapsular dissection compared with superficial parotidectomy for pleomorphic adenomas of the parotid gland from 2002 to 2012. The authors carried out a retrospective cohort study of 198 patients with pleomorphic adenomas of the parotid gland. Extracapsular dissection (ED) or superficial parotidectomy (SP) was performed. The recurrence rate and complications of the two surgical techniques were measured with a univariate analysis of each variable using the appropriate statistical analysis (chi-squared test ort-test). A total of 198 patients were enrolled between January 2003 and December 2012. The study included 97 females (48.99%) and 101 males (51.01%) whose mean age was 50.97 years (range 14–75). The type of surgery performed was ED in 153 patients (77.27%, 80 males and 73 females) and SP in 45 patients (22.73%, 21 males and 24 females). The mean follow-up time was 61.02 +/− 4.9 months for the patients treated with ED and 66.4 +/− 4.5 months for the patients treated with SP. Transient facial nerve injury and facial paralysis were significantly more frequent after SP than after ED (P=0.001andP=0.065, resp.). No significant differences in capsular rupture, recurrence, and salivary fistula were observed after SP or ED: 2.2% versus 3.9%, 2.2% versus 3.3%, and 2.2% versus 0.65%, respectively. Extracapsular dissection may be considered the treatment of choice for pleomorphic adenomas located in the superficial portion of the parotid gland because this technique showed similar effectiveness and fewer side effects than superficial parotidectomy.


2007 ◽  
Vol 121 (12) ◽  
pp. 1126-1128 ◽  
Author(s):  
J T Johnson ◽  
A Ferlito ◽  
J J Fagan ◽  
P J Bradley ◽  
A Rinaldo

AbstractThere is continued controversy over the extent of parotidectomy required for removal of a benign pleomorphic adenoma from the parotid gland. Currently, consensus exists that the integrity of the facial nerve must be preserved when the tumour is totally removed.As a result of experience gained in the first half of the twentieth century, it was recommended that superficial parotidectomy with facial nerve dissection should be the minimal biopsy for pleomorphic adenoma. Since that time, however, research has indicated that partial parotidectomy or extracapsular dissection of benign pleomorphic adenoma can be accomplished with preservation of the facial nerve without an increase in tumour recurrence. Partial parotidectomy or extracapsular dissection results in impaired cosmetic results and a lower incidence of Frey's syndrome, and thus may be the preferred approach when undertaken by experienced surgeons.


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