An Experience of Superficial Parotidectomy in Tertiary Care Teaching Hospitals
Liaquat Ali Bhatti, Muhammad Aslam Javed, Hina Khan, Muhammad Arshad, Khalid Javeed Khan
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ABSTRACT
Background: Superficial parotidectomy is associated with a decreased
incidence of transient facial nerve paralysis compared with that of total
parotidectomy.
Aim: To
analyze the clinical presentation, histopathology and complications following superficial
parotidectomy performed for benign parotid tumors.
Methods: Two center study data was collected from the Surgical
Unit I, Department of Surgery AIMC/Jinnah Hospital Lahore (1st
January 2012 to October 2018) and Surgical Unit II, Department of Surgery, Sir
Ganga Ram Hospital Lahore (November 2018 to 31st December 2020). All
patients who underwent superficial Parotidectomy surgery for benign parotid
tumors, from 1st January 2012 to 31st December 2020 were
assessed for intra-operative and post-operative complications. Demographic
data, intraoperative details, and postoperative outcomes of all patients who
underwent superficial parotidectomy were collected. Patients with benign
parotid tumors on FNAC were included while patients with malignant cells on histopathology
were excluded.
Results: A total of 50 patients having benign parotid tumors on
FNAC underwent superficial parotidectomy during this study period. There were
35 female patients (70%) and 15 male (30%), with female to male ratio of 2.3:1.
The age range was 23-70 years with mean age of patients 35.6 years (5.65±SD).
In 48% cases the tumor was on left side of face and in 52% cases it was on
right side. Amongst 50 cases, on postoperative histopathology, 2 patients had
malignant change.
Key
words: Superficial
parotidectomy, pleomorphic adenoma, facial nerve paralysis