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At least 19 recordsLinked to original sources
PubMed1991

[Parotidectomy: functional and esthetic results].

We report a retrospective study of 154 patients after parotidectomy. The patients were examined immediately and on average about 40 months after the operation. The emphasis of the examination was to assess both functional as well as aesthetic results. The function of the facial nerve was evaluated by Stennert's score. We found a median score of 20% 3.3 days after operation. The late postoperative results (34.3 months after operation) indicated that 91% of the patients had no paresis. There was no significant difference between superficial parotidectomy and total parotidectomy in regard to the aesthetic result. The decision for partial or total parotidectomy should be based exclusively on pathological and oncological considerations.

Aged↗
PubMed1979

Facial nerve function in 100 consecutive parotidectomies.

The risk of facial nerve paresis after parotidectomy is thought to be within acceptable limits, although it is difficult to find published data regarding the specific magnitude of this risk. This study reviews the subject and reports postoperative facial function in 100 consecutive patients who had parotidectomies at the Henry Ford Hospital during a 9-year period. Permanent weakness of a major branch was identified in 2 of 77 patients having lateral lobectomy for parotid disease. Both patients demonstrated marginal mandibular paresis after surgery for adenolymphoma. No weakness was noted in 16 patients undergoing total parotidectomy. No unanticipated nerve disability was noted in 4 patients having partial nerve sacrifice in extended procedures; 3 patients had complete sacrifice of the nerve.

Adenocarcinoma↗
PubMed1992

Complications of superficial parotidectomy versus extracapsular lumpectomy in the treatment of benign parotid lesions.

A total of 46 patients with benign parotid gland tumours have been operated upon between 1979 and 1989 in the Department of Otolaryngology at Leicester Royal Infirmary. Thirty-one were pleomorphic adenomas, six Warthin's tumours and nine miscellaneous tumours or tumour-like lesions. Extracapsular lumpectomy without facial nerve preparation was used in 31 cases (67%) and superficial parotidectomy in 15 cases (33%). One case of permanent partial facial palsy and one recurrence occurred in patients who underwent superficial parotidectomy. Frey's syndrome occurred in 40% of patients undergoing superficial parotidectomy. No permanent palsy, recurrence or Frey's syndrome occurred after extracapsular lumpectomy. These results suggest that extracapsular lumpectomy may reduce the morbidity rate in carefully selected patients.

Adenolymphoma↗
PubMed1991

Outpatient parotidectomy.

Encouraged by the success of outpatient thyroid surgery, we have performed outpatient parotidectomy in more than 56 selected patients during the past 5 years. As a result of the success of the procedure and the enthusiastic patient response, the proportion of parotid operations performed on an inpatient basis has declined in the latter part of the series. The indication for surgery in virtually all cases was a mass in the parotid gland. The surgical technique used for inpatient or outpatient parotidectomy was the same. If a diagnosis of carcinoma was made based on frozen section examination, definitive surgery was performed, and the patient was admitted to the hospital. Postoperative interviews were conducted with all patients who had outpatient parotid surgery. There was almost uniform patient satisfaction with the performance of the procedure on an outpatient basis. Outpatient parotid surgery permits more efficient use of hospital facilities and more effective use of the surgeon's time. Outpatient parotid surgery was found to be a safe, cost-effective procedure, convenient for both the patient and the surgeon in selected patients.

Adenolymphoma↗
PubMed1992

Frey's syndrome: prevention with conservative parotidectomy and superficial musculoaponeurotic system preservation.

Between 1980 and 1990, 35 patients underwent conservative parotidectomy combining a rhytidectomy incision and a superficial musculoaponeurotic system preservation technique to reduce the postoperative incidence of Frey's syndrome. All patients were evaluated by questionnaire for subjective symptoms of gustatory sweating and flushing as well as satisfaction with the aesthetic appearance of their cheek. Six percent of patients (2 of 35) complained of symptoms of Frey's syndrome. Ninety-four percent of patients (33 of 35) noticed minimal or no contour deformity of the surgical area. Twenty patients underwent Minor's starch iodine testing to identify objective evidence of aberrant nerve regeneration at the postoperative site. Fifteen percent of these patients (3 of 20) demonstrated a positive starch iodine test; however, one of these three patients was unaware of symptoms of Frey's syndrome. Symptoms of gustatory sweating are a reliable indicator of aberrant nerve regeneration. Conservative parotidectomy with superficial musculoaponeurotic system preservation for benign parotid disease produces a low incidence of Frey's syndrome and satisfactory cosmetic results.

Adenoma, Pleomorphic↗
PubMedDate not supplied

[Auriculotemporal syndrome as a consequence of parotidectomy].

Postoperative follow-up was carried out on 121 patients previously operated for pleomorphic adenoma of the parotid glands. The aim of this study was to establish the incidence of auriculotemporal syndrome (ATS) according to:a. patients' complaints (i.e. subjective incidence), and b. Minor test findings (i.e. objective incidence). The influence of the surgical extent (parotidectomy) on ATS incidence was also assessed. It was found that the objective incidence of ATS was 31.4%, and the subjective incidence only 13.2%. It was also established that both subjective and objective incidences of ATS were higher after total than after partial parotidectomy.

Adenoma, Pleomorphic↗
PubMed1991

Post-parotidectomy fistula.

Today parotidectomy is a common, safe surgical procedure. With the increase in the number of parotidectomies being performed there have been many reviews of both the immediate and delayed operative complications. Postoperative salivary fistula, although a common occurrence, is usually glossed over or barely mentioned in most reviews. The present study reviews the parotid experience at a major teaching hospital, The Wellesley Hospital, University of Toronto, over a 10-year period. This information was used to draw general conclusions concerning the incidence, etiology and treatment of salivary fistulas as well as their prevention.

Chronic Disease↗
PubMed1992

Parotidectomy for parotid tumours: 19-year experience from The Netherlands.

A total of 150 patients were treated for parotid tumours over a period of 19 years. In 94 per cent superficial or total parotidectomy was performed. Histological diagnosis of the resected specimen revealed pleomorphic adenoma in 92 patients (61 per cent), Whartin's tumour in 30 (20 per cent), various benign neoplasms in 11 (7 per cent) and malignant tumour in 17 (11 per cent). After a mean follow-up of 7.7 years, no recurrence of a benign tumour was seen. Malignant tumours recurred in five patients. Permanent partial facial paralysis was seen in 4 per cent of patients after surgery for benign lesions. Frey's syndrome was observed in 43 per cent of patients, and was not prevented by resection of the auriculotemporal nerve.

Adolescent↗
PubMed1979

Cell proliferation in the mouse parotid gland after unilateral parotidectomy.

Unilateral parotidectomy with or without total submandibulectomy has been used to induce cell proliferation in mouse parotid gland. Maximum DNA synthesis and mitosis were recorded four and five days after the operation. The double operation increased the proliferative response. Such proliferative stimulii was not accompanied by secretion and was sex independent. On the other hand, the response decreased with age. RNA and protein synthesis inhibitors showed that the stimulation of DNA synthesis depends on early protein synthesis, which seems to be synthesized on a preexisting template.

Animals↗
PubMed1975

Conservative parotidectomy in infancy and childhood.

The indication for operations of benign tumours of the salivary glands in infancy and childhood is taken with great caution and is only partially recommended as the therapy of choice. This applies especially to hemangiomas, since spontaneous retrogression has been observed and there is the danger of damage to the facial nerve during surgery. Knowing unsatisfactory late cases of hemangiomas the author recommends conservative parotidectomy in cases of fast-growing hemangiomas. The anatomic structures in infancy, as well as the lack of pneumatisation of the mastoid process and the fragility of the cartilagineous auditory meatus should be taken into consideration during surgical exploration. The atypical course of the facial nerve in large tumours of the parotid gland is pointed out.

Child↗
PubMed1975

[Parotidectomy in Sjogren-Houwers-Gougerot syndrome].

The authors report two cases of Sjögren's syndrome which fulfilled the diagnostic criteria and which were accompanied by voluminous parotid hypertrophy. In a 42 year old woman, bilateral parotid hypertrophy, in addition to the aesthetic problem, also had major psychological repercussions. In a 59 year old woman, parotid hypertrophy was limited on the right but voluminous on the left, with frequent episodes of parotiditis. Total parotidectomy with conservation of the facial nerve, followed by filling of the post-operative cavity by a strip of sterno-mastoid, bilateral in the first case and unilateral in the second, gave excellent results, diminishing the real degree of infirmity which rendered these patients extremely unhappy and the complications related to the parotid hypertrophy of Sjögren's syndrome.

Adult↗