Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospital

BACKGROUND: The most common neoplasm of the salivary glands is pleomorphic adenoma and the most common complications of its surgical removal are facial nerve dysfunction (temporary or permanent) and auriculotemporal syndrome (Frey’s syndrome). One of the surgical techniques in pleomorp...

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Main Authors: Nezamodin Berjis, Ahmadreza Okhovat, Mahmood Baluchi, Hanif Okhovat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-05-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://journals.mui.ac.ir/jrms/article/view/293
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author Nezamodin Berjis
Ahmadreza Okhovat
Mahmood Baluchi
Hanif Okhovat
author_facet Nezamodin Berjis
Ahmadreza Okhovat
Mahmood Baluchi
Hanif Okhovat
author_sort Nezamodin Berjis
collection DOAJ
description BACKGROUND: The most common neoplasm of the salivary glands is pleomorphic adenoma and the most common complications of its surgical removal are facial nerve dysfunction (temporary or permanent) and auriculotemporal syndrome (Frey’s syndrome). One of the surgical techniques in pleomorphic adenoma is partial parotidectomy. The whole excised tumor is surrounded by a safety margin of parotid tissue. Several surgical techniques are used for this operation. In the analytical studies published for partial parotidectomy, we searched for the complication rates of this operation. METHODS: In a cross-sectional study, 59 patients with pleomorphic adenoma who underwent partial parotidectomy from 1994 to 2000 were selected and their clinical examinations and pathological files were evaluated at the Alzahra hospital which is affiliated to Isfahan University of Medical Sciences. RESULTS: From the fifty nine patients, who were studied, 44.06% were male and 55.94% were female. The mean age at the time of the onset of symptoms was 37.18. One of the patients had a history of tumor recurrence. Four patients had temporary facial nerve paresis immediately after the surgery. One patient (1.69%) had a permanent facial nerve paralysis in one of the facial nerve subdivisions. Two patients (3.38%) had Frey’s syndrome. In 1 case (1.69%) there was a history of bleeding after the surgery. Two patients (3.38%) had wound infection. CONCLUSIONS: In comparison with the superficial parotidectomy technique, the partial parotidectomy method indicates more satisfying results in regards to recurrence and complications.
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spelling doaj.art-45c89c120f1f4e9198fe66b59d1780ee2022-12-22T01:39:29ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362007-05-011213840Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospitalNezamodin BerjisAhmadreza OkhovatMahmood BaluchiHanif OkhovatBACKGROUND: The most common neoplasm of the salivary glands is pleomorphic adenoma and the most common complications of its surgical removal are facial nerve dysfunction (temporary or permanent) and auriculotemporal syndrome (Frey’s syndrome). One of the surgical techniques in pleomorphic adenoma is partial parotidectomy. The whole excised tumor is surrounded by a safety margin of parotid tissue. Several surgical techniques are used for this operation. In the analytical studies published for partial parotidectomy, we searched for the complication rates of this operation. METHODS: In a cross-sectional study, 59 patients with pleomorphic adenoma who underwent partial parotidectomy from 1994 to 2000 were selected and their clinical examinations and pathological files were evaluated at the Alzahra hospital which is affiliated to Isfahan University of Medical Sciences. RESULTS: From the fifty nine patients, who were studied, 44.06% were male and 55.94% were female. The mean age at the time of the onset of symptoms was 37.18. One of the patients had a history of tumor recurrence. Four patients had temporary facial nerve paresis immediately after the surgery. One patient (1.69%) had a permanent facial nerve paralysis in one of the facial nerve subdivisions. Two patients (3.38%) had Frey’s syndrome. In 1 case (1.69%) there was a history of bleeding after the surgery. Two patients (3.38%) had wound infection. CONCLUSIONS: In comparison with the superficial parotidectomy technique, the partial parotidectomy method indicates more satisfying results in regards to recurrence and complications.http://journals.mui.ac.ir/jrms/article/view/293Frey’s syndrome, partial parotidectomy, complications, pleomorphic adenoma, mixed tumor, auriculotemporal syndrome.
spellingShingle Nezamodin Berjis
Ahmadreza Okhovat
Mahmood Baluchi
Hanif Okhovat
Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospital
Journal of Research in Medical Sciences
Frey’s syndrome, partial parotidectomy, complications, pleomorphic adenoma, mixed tumor, auriculotemporal syndrome.
title Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospital
title_full Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospital
title_fullStr Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospital
title_full_unstemmed Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospital
title_short Complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at Alzahra hospital
title_sort complications and recurrence of parotid pleomorphic adenoma after partial parotidectomy at alzahra hospital
topic Frey’s syndrome, partial parotidectomy, complications, pleomorphic adenoma, mixed tumor, auriculotemporal syndrome.
url http://journals.mui.ac.ir/jrms/article/view/293
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AT mahmoodbaluchi complicationsandrecurrenceofparotidpleomorphicadenomaafterpartialparotidectomyatalzahrahospital
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