Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors

@article{Psychogios2020ReviewOS,
  title={Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors},
  author={G. Psychogios and C. Bohr and J. Constantinidis and M. Canis and V. Vander Poorten and J. Plz{\'a}k and A. Knopf and Christian Betz and O. Guntinas-Lichius and J. Zenk},
  journal={European Archives of Oto-Rhino-Laryngology},
  year={2020},
  volume={278},
  pages={15-29}
}
Purpose Surgical treatment of benign parotid tumors has developed in the direction of less invasive procedures in recent years and has raised great debate about the best surgical approach. Aim of this article is to analyse anatomical and other factors that are important in selection of the appropriate surgical technique in treatment of benign parotid tumors. Furthermore, to discuss the risk of complications and recurrent disease according to selected operation. Finally, to define patient… Expand
Current Trends and Controversies in the Management of Warthin Tumor of the Parotid Gland
Purpose: To review the current options in the management of Warthin tumors (WTs) and to propose a working management protocol. Methods: A systematic literature search was conducted using PubMed andExpand
Author’s response to the letter of the editor regarding the “Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors”
TLDR
It is disagreed with Tretiakow and Skorek that MRI (including diffusion-weighted sequences) is superior to ultrasound in the diagnosis of parotid tumors and that multimodal ultrasound with elastography is a very promising method to help differentiate between benign and malignant tumors. Expand
Refinement of the surgical indication and increasing expertise are associated with a better quality of pathology specimen in pleomorphic adenomas
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The development of surgical treatment by pleomorphic adenomas of the parotid gland over the last 15 years is traced and its effects on the histopathology specimen are explored to explore the reduced surgical invasiveness and quality of the pathology specimen. Expand
Satellite nodules in pleomorphic adenomas of the parotid gland: A nightmare for less invasive parotid surgery?
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The authors' analysis could not award SNs the title of an "extracapsular dissection's nightmare", but in the majority of cases, their favourable histological patterns offer the ideal circumstances for their surgical inclusion in a tumour specimen. Expand
Is extracapsular dissection for pleomorphic adenoma rather a euphemism for enucleation that jeopardises the intactness of the capsule?
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The choice of surgical method does not seem to have a significant effect on the incidence of positive margins, or on the capsular exposure of a pleomorphic adenoma, or in the case of cases where the lesion was removed by extracapsular dissection. Expand
Preoperative Multiparametric Ultrasound and Fine Needle Aspiration Cytology evaluation of parotid gland tumors: which is the best technique?
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Investigation of Sonographic Criteria for Reliable Identification of T1-T2 Low-Grade Malignant Tumors of the Parotid Gland.
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It seems that there is still potential to reduce the incidence of the false working hypothesis "benign lesion" on imaging of low-grade malignant tumors. Expand
Regarding the “Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors”
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It is suggested that extracapsular dissection provides the more effective outcome in patients with benign parotid tail tumors and can be applied as the first-line surgical technique in most patients who have benign parotin tail tumors. Expand

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TLDR
A staging system that could facilitate clinical decision making and the comparison of results of different clinical studies in the treatment of benign parotid tumors is proposed and a guideline of surgical extent is proposed. Expand
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While total parotidectomy (with or without nerve excision) is often indicated for extensive or high grade malignancies, some centres have developed more conservative surgical approaches in selected cases, combined with adjuvant radiotherapy, particularly for low-grade lesions confined to one or other lobe. Expand
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
Extracapsular dissection showed similar effectiveness and fewer side effects than superficial parotidectomy and could be considered as the treatment of choice for tumors located in the superficial portion of theParotid gland. Expand
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