DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20202203

A profile on parotid surgeries

Gangadhara K. S., Amrutha V. Bhat, Sridhara S.

Abstract


Background: A study of the various parotid swellings that underwent surgery in a tertiary care hospital was conducted. Different parameters like preoperative investigations including fine needle aspiration cytology (FNAC) and radiological investigations, modified aesthetic incision, type of surgery and outcome following surgery were assessed.

Methods: This was a prospective institutional based study. A total of 19 cases of parotid swellings were considered. A new aesthetically acceptable incision was used in all patients. Post operatively, facial nerve and other complications were assessed. A comparison between FNAC diagnosis and histopathology diagnosis was made.  

Results: The FNAC and histopathological examination results were same in 15 of the 19 cases considered. All patients were followed up for a period of 6 months and the post-operative scar was well accepted by all patients.

Conclusions: Pleomorphic adenoma, one of the most common causes of parotid swelling, is well diagnosed by FNAC. Ultrasonography is a useful tool to diagnose benign parotid tumours. The modified incision used gives an imperceptible scar post operatively.


Keywords


Parotidectomy, New incision, Histopathology, FNAC

Full Text:

PDF

References


Sheahan P, Shaha AR. Salivary gland tumours. In: Watkinson JC, Gilbert RW, eds. Stell and Maran’s Textbook of Head and Neck Surgery and Oncology. 5th edition. London; Hodder Arnold publication; 2012: 717.

Bussu F, Parrilla C, Rizzo D, Almadori G, Paludetti G, Galli J. Clinical approach and treatment of benign and malignant parotid masses, personal experience. Acta Otorhinolaryngol Ital. 2011;31(3):135-43.

Panda NK, Kaushal D, Verma R. Do we need to modify the parotid incision? Indian J Otolaryngol Head and Neck surgery. 2016;68(4):487-9.

Shah J, Patel S, Singh B. Salivary glands. Jatin Shah’s Head and Neck Surgery and Oncology, 4th edition. Philadelphia; Elsevier publication; 2012: 544-547.

Gudmundsson JK, Ajan A, Abtahi J. The accuracy of fine-needle aspiration cytology for diagnosis of parotid gland masses: a clinicopathological study of 114 patients. J Appl Oral Sci. 2016;24(6):561-7.

Lee YYP, Wong KT, King AD, Ahuja AT. Imaging of salivary gland tumours. Eur J Radiol. 2008;66(3):419-36.

Thielker J, Grosheva M, Ihrler S, Wittig A, Guntinas-Lichus O. Contemporary Management of Benign and Malignant Parotid Tumours. Front Surg. 2018;5:39.

Bron LP, O’Brien CJ. Facial nerve function after parotidectomy. Arch Otolaryngol Head Neck Surg. 1997;123(10):1091-6.