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

  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},
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”
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
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?
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?
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?
CEUS proved to be a valid and accurate method for identifying malignant tumors of parotid gland; the combination of B-mode US with CEUS showed similar diagnostic accuracy, but better sensitivity than CEUS taken alone; however, it revealed the highest diagnostic accuracy in the differentiation between benign lesions. Expand
Investigation of Sonographic Criteria for Reliable Identification of T1-T2 Low-Grade Malignant Tumors of the Parotid Gland.
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”
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


Surgical options in benign parotid tumors: a proposal for classification
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
Surgery of the parotid gland: evolution of techniques, nomenclature and a revised classification system
  • D. Tweedie, A. Jacob
  • Medicine
  • Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2009
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
The extent of surgery for benign parotid pathology and its influence on complications: A prospective cohort analysis.
Partial superficial parotidectomy was associated with low rates of morbidity to the facial nerve and surgical wound and this is in line with the current trend of minimising surgical dissection, thereby potentially decreasing the risk of short-term and long-term complications. Expand
Frozen section pathology for decision making in parotid surgery.
Frozen section pathology for parotid lesions has high accuracy and utility in intraoperative decision making, facilitating timely complete procedures. Expand
Does increasing the incidence of extracapsular dissection for benign tumors of the parotid correlate with an increased need for revision surgery?
The argument in favour of a greater need for revision surgery after primary parenchyma-sparing modalities was not sustained and it is believed that extracapsular dissection is justified in cases where a benign lesion is suspected preoperatively. Expand
A critical review of 20 years of parotid gland surgery
The pre-operative assessment of parotid gland (PG) lesions is of major clinical impact, whilst surgery remains the diagnostic/therapeutic mainstay, whilst there are still controversies about the distribution of entities, clinical course, functional outcome, and survival. Expand
Comparison of surgical techniques for benign parotid tumours: a multicentre retrospective study.
US-MECD showed similar effectiveness and fewer side effects than SP and PSP, and the long-term effects of the new technique require further study. Expand
Partial Superficial, Superficial, and Total Parotidectomy in the Management of Benign Parotid Gland Tumors: A 10-Year Prospective Study of 205 Patients.
It is confirmed that good results in low recurrence rate and minimal risk of facial nerve weakness can be achieved with operations less aggressive than traditional superficial parotidectomy, such as partial superficial parOTidectomy. Expand
Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery?
The advantages and disadvantages of the various approaches after addressing the surgical pathology of the parotid pleomorphic adenoma capsule are discussed, thus minimizing complications such as facial nerve dysfunction and Frey syndrome. Expand
Surgical management of benign tumors of the parotid gland: extracapsular dissection versus superficial parotidectomy--our experience in 232 cases.
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