The parotid tumours-benign and malignant: our experience


  • Nikhil D. Patel Department of Otorhinolaryngology and Head and Neck Surgery, GMERS, Valsad, Gujarat, India
  • Shivani M. Mehta Department of Otorhinolaryngology and Head and Neck Surgery, GMERS, Valsad, Gujarat, India



Pleomorphic adenoma, Great auricular nerve, Facial nerve, Parotid surgery


Salivary gland tumors are uncommon and constitute a highly heterogeneous histopathological group of neoplasms. The present study aims to determine the correlation between the cytological and histopathological findings of parotid gland tumors, and preservation of the facial and posterior branch of the greater auricular nerve during parotid surgery. A study of 21 cases of parotid gland tumors was conducted at our hospital- GMERS Medical College and Civil Hospital, Valsad. All of them were clinically diagnosed and investigated. Hospital records of these patients including operative findings were analyzed concerning age, sex, indications for surgical management, and outcome. A total of 21 salivary gland tumors were diagnosed over 2 years representing pleomorphic adenoma was most commonly occurring in 15 (71%) cases followed by Warthin`s in 3 (14%) cases, mucoepidermoid carcinoma 2 (10%) and benign cystic lesion in 1 (5%) cases. Most of the parotid gland tumors occurred in the 20-60 years age group. Females were more commonly affected than males. The data discussed in this study was consistent with other hospital-based studies concerning age, sex, site, clinical presentation, diagnosis, complications, management, and outcome of these different types of parotid gland tumors.


Watkinson J, Clarke R. Scott Brown’s Otolorhinolaryngology. Head and Neck Surgery. 8th edition. Volume 3. CRC Press. 2018;9:115-30.

Watkinson J, Clarke R. Scott Brown’s Otolorhinolaryngology, Head and Neck Surgery. Volume 2: Paediatrics, The Ear, and Skull Base Surgery. 8th edition. Volume 3. CRC Press. 2018;10:131-50.

Watkinson J, Gilbert RW. Stell & Maran’s Textbook of head and neck surgery and oncology. 5th Edition. Hodder Arnold. 2012;37:714-28.

Cajulis RS, Gokaslan ST, Yu GH, Frias-Hidvegi D. Fine needle aspiration biopsyof salivary glands. A five year experience with emphasis on diagnostic pitfall. Acta Cytol. 1997;41(5):1412-20.

Boccato P, Altavilla G, Blandamura S. Fine needle aspiration biopsy of salivary gland lesions. Are appraisal of pitfall & problems. Acta Cytol. 1998;42(4):888-98.

Stewart CJ, Mac Kenzie K, Mc Garry GW, Mowat A. Fine needle aspiration cytology of salivary gland: A review of 341 cases. Diagn Cytopathol. 2018;22(3):139-46.

Naz S, Hashmi AA, Khurshid A, Faridi N, Edhi MM, Kamal A, et al. Diagnostic roleof fine needle aspiration cytology (FNAC) in the evaluation of salivary gland swelling: an institutional experience. BMC Res Notes. 2015;8:101.

Maahs GS, Oppermann Pde O, Maahs LG, Machado Filho G, Ronchi AD. Parotid gland tumors: a retrospective study of 154 patients. Braz J Otorhinolaryngol. 2015;81(3):301-6.

Guerra G, Testa D, Montagnani S, Tafuri D, Salzano FA, Rocca A, et al. Surgical management of pleomorphic adenoma of parotid gland in elderly patients: role of morphological features. Int J Surg. 2014;12(2):S12-6.

Banerjee P, Sikdar B, Das G, Das A, Ghosh A. Parotidectomy, complications and management: our experience. Int J Otorhinolaryngology Head Neck Surg. 2020;6:1617-22.

Maithani T, Pandey AK, Agrahari AK. An Overview of Parotidectomy for Benign Parotid Lesions with Special Reference to Perioperative Techniques to Avoid Complications: Our Experience. Indian J Otolaryngology Head Neck Surg. 2019;71(Suppl 1):258-64.

Guntinas-Lichius O, Kick C, Klussmann JP, Jungehuelsing M, Stennert E. Pleomorphicadenoma of the parotid gland: a 13-year experience of consequent management by lateral or total parotidectomy. Eur Arch Otorhinolaryngology. 2004;261(3):143-6.

Gaillard C, Perie S, Susini B, St Guily JL. Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope. 2005;115:287-91.

Gonzalez-Cardero E, Infente-Cassio P, Cayuela A, Acosta-Feria M, Gutierrez-Perez JL. Facial disability index (FDI): adaptation to Spanish, reliability & validity. Med Oral Pathol Oral Cir Bucal. 2012;17:e1006-12.

Marchese-Ragona R, DeFilippis C, Marioni G, Staffieri A. Treatment of complications of parotid gland surgery. Acta Otorhinolaryngology Ital. 2005;25:174-8.

Yuan X, Gao Z, Jiang H, Yang H, Lv W, Wang Z, et al. Predictors of facial palsy aftersurgery for benign parotid disease: multivariate analysis of 626 operations. Head Neck. 2009;31:1588-92.

Maddox PT, Paydarfar JA, Davies L. Parotidectomy: a 17-year institutional experience at a rural academic medical center. Ann OtoRhino Laryngology. 2012;121:100-3.

Ruohoalho J, Makitie AA, Aro K, Atula T, Haapaniemi A, Keski-Santti H, et al. Complications after surgery for benign parotid gland neoplasms: A prospective cohort study. Head Neck. 2017;39:170-6.






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