Case series-an overview of extracapsular dissection of parotid tumours

Authors

  • Deepalakshmi Tanthry Department of ENT, A. J. institute of medical sciences, Junior Resident, Mangalore, Karnataka, India
  • Anushree Rai Department of ENT, A. J. institute of medical sciences, Junior Resident, Mangalore, Karnataka, India
  • Mahesh Santhraya Department of ENT, A. J. institute of medical sciences, Junior Resident, Mangalore, Karnataka, India
  • Devan Poothatta Pannen Department of ENT, A. J. institute of medical sciences, Junior Resident, Mangalore, Karnataka, India
  • Rukma Bhandary Department of ENT, A. J. institute of medical sciences, Junior Resident, Mangalore, Karnataka, India
  • Vishwas Pai Department of ENT, A. J. institute of medical sciences, Junior Resident, Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20213291

Keywords:

ECD, Parotid tumors, Salivary gland, Adenoma, Histopathology

Abstract

Extra capsular dissection (ECD) differs markedly from classic surgical approaches to the parotid neoplasm because facial nerve dissection is not performed. Factors noted to favor this approach include mobility of the tumor within the gland, a thin covering of capsule and glandular tissue, and a tumor large enough to allow digital manipulation during dissection. Imaging, fine needle aspiration cytology, and neuron-monitoring play a heightened role in ECD. The aim of this article is to report case series on surgical management of few types of parotid tumors by extra capsular dissection and to assess long-term results after the treatment of parotid tumors using surgical technique ECD.This case series includes five different parotid tumors such as Warthin’s tumor, Pleomorphic adenoma, Sialadenoma papilliferum of parotid, chronic sialoadenitis, parotid cystadenoma, out of 30 cases operated in our hospital. All the patients in this study received appropriate surgical treatment (ECD) and done a follow up evaluation every month.

References

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Shaper M, Koch M, Conclaves M, Mantsopoulos K, Iro H. Extra capsular Dissection in Pleomorphic Adenomas of the Parotid Gland: Results After 13 Years of Follow-up. Laryngoscope. 2020;1-7.

Cristofaro MG, Allegra E, Giudice A, Colangeli W, Caruso D, Barca I et al. Pleomorphic Adenoma of the Parotid: Extracapsular Dissection Compared with Superficial Parotidectomy-A 10-Year Retrospective Cohort Study. Hindawi Publishing Corporation the Scientific World J. 2014;564053:4.

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Published

2021-08-23

Issue

Section

Case Series