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Parotid Surgery

Min-Hui Hung, Chun-Ta Liao, Chung-Jan Kang, Shiang-Fu Huang
Most parotid tumors grow slowly, and sometimes these patients do not request surgical treatment until the tumors become large and affect their appearance. The surgical treatment of these large tumors is usually accompanied by large skin defects after excision, and it is challenging for surgeons to close the defect primarily. This report describes the case of a 68-year-old man with a left parotid gland tumor (largest dimension, 110 mm) and the case of a 79-year-old man with a left parotid gland tumor measuring approximately 77 mm that had existed for decades...
September 21, 2016: Journal of Oral and Maxillofacial Surgery
Joseph C Dort, D Gregory Farwell, Merran Findlay, Gerhard F Huber, Paul Kerr, Melissa A Shea-Budgell, Christian Simon, Jeffrey Uppington, David Zygun, Olle Ljungqvist, Jeffrey Harris
Importance: Head and neck cancers often require complex, labor-intensive surgeries, especially when free flap reconstruction is required. Enhanced recovery is important in this patient population but evidence-based protocols on perioperative care for this population are lacking. Objective: To provide a consensus-based protocol for optimal perioperative care of patients undergoing head and neck cancer surgery with free flap reconstruction. Evidence Review: Following endorsement by the Enhanced Recovery After Surgery (ERAS) Society to develop this protocol, a systematic review was conducted for each topic...
October 13, 2016: JAMA Otolaryngology—Head & Neck Surgery
Lorenz Kadletz, Stefan Grasl, Matthäus C Grasl, Christos Perisanidis, Boban M Erovic
BACKGROUND: The purpose of this study was to evaluate the clinical outcome in patients with benign parotid gland tumors after extracapsular dissection or superficial parotidectomy (SP). METHODS: Eight hundred ninety-four patients with primary pleomorphic adenoma or Warthin's tumor were included from this study. Type and length of surgery, tumor size, resection margins, and complication rates were assessed. RESULTS: Three hundred ninety-five (44...
October 5, 2016: Head & Neck
Chang-Hsien Lu, Chien-Ting Liu, Pei-Hung Chang, Kun-Yun Yeh, Chia-Yen Hung, Shau-Hsuan Li, Yung-Chang Lin, Ta-Sen Yeh, Yung-Shin Hung, Wen-Chi Chou
Purpose: Parotid cancer is a rare malignancy characterized by a heterogeneous histologic subtype and distinct biologic behavior. The present study aimed to externally validate and compare the performances of the American Joint Committee on Cancer (AJCC) staging system (7(th) Edition), Carrillo score, and Vander Poorten score in the prediction of tumor relapse probability in a large cohort of Asian parotid cancer patients. Methods: In total, 261 patients who underwent primary surgery for localized parotid cancer between 2002 and 2014 at the four affiliated hospitals of Chang Gung Memorial Hospital were identified...
2016: Journal of Cancer
Sameep Kadakia, David Chan, Yadranko Ducic, Ricardo Cristobal, Moustafa Mourad
OBJECTIVE: We analyzed patients with advanced parotid malignancy requiring proximal facial nerve exposure undergoing mastoidectomy versus lateral temporal bone resection to determine differences in local and distant recurrence. STUDY DESIGN: The study design is a case series with chart review. SETTING: The setting is in Tertiary care practice in Fort Worth, Texas from January1998 to January 2014. SUBJECTS AND METHODS: The study included 120 patients with advanced parotid malignancy, 82 males between 19 and 87 years, and 38 females between 26 and 83 years...
September 30, 2016: Oral and Maxillofacial Surgery
Ahmed-Abdel-Fattah Nofal, Mohammad-Waheed El-Anwar
INTRODUCTION: Intraparotid neurofibromas of the facial nerve are extremely rare and mostly associated with neurofibromatosis type 1 (NF1). CASE REPORT: This is a case of a healthy 40-year-old man, which underwent surgery for a preoperatively diagnosed benign parotid gland lesion. After identification of the facial nerve main trunk, a single large mass (6 x 3 cm) incorporating the upper nerve division was observed. The nerve portion involved in the mass could not be dissected and was inevitably sacrificed with immediate neuroraphy of the upper division of the facial nerve with 6/0 prolene...
July 2016: Iranian Journal of Otorhinolaryngology
Stanislas Ballivet-de Régloix, Julia Grinholtz-Haddad, Olga Maurin, Louise Genestier, Quentin Lisan, Yoann Pons
INTRODUCTION: We present a retrospective two-center study series and discussion of the current literature to assess the benefits of facial nerve monitoring during parotidectomy. MATERIALS AND METHODS: From 2007 to 2012, 128 parotidectomies were performed in 125 patients. Of these, 47 procedures were performed without facial nerve monitoring (group 1) and 81 with facial nerve monitoring (group 2). The primary endpoint was the House-Brackmann classification at 1 month and 6 months...
July 2016: Iranian Journal of Otorhinolaryngology
Archana Shetty, V Geethamani
INTRODUCTION: Neoplastic lesions of salivary glands present an interesting subject because of their histologic diversification. Complex features exhibited by them have aroused considerable speculations concerning their histogenesis and continues to hold the interest of clinicians and pathologists. Major salivary glands are superficial and have easy accessibility for fine-needle aspiration cytology (FNAC). These glands are generally not subjected to incisional or core needle biopsy, because of the possible risks of fistula formation and tumor seedling...
May 2016: Journal of Oral and Maxillofacial Pathology: JOMFP
Mauro Pau, Kawe Navisany, Knut Ernst Reinbacher, Tomislav Zrnc, Jürgen Wallner, Katja Schwenzer-Zimmerer
PURPOSE: The aim of this article is to present our experience treating fractures of the condylar base with a modification of the high submandibular approach (HSA). MATERIALS AND METHODS: Between June 2012 and April 2015, 44 fractures of the condylar base were treated in the Department of Oral and Maxillofacial Surgery of the Medical Hospital of Graz using the modified HSA. RESULTS: We did not observe any damage (even transient) to the facial nerve or any complication related to violation of the parotid capsule (such as a salivary fistula, Frey syndrome, or a sialocele)...
August 2, 2016: Journal of Cranio-maxillo-facial Surgery
Shuang Tong, Da-Peng Xu, Zi-Mei Liu, Yang Du, Xu-Kai Wang
The aim of the present study was to assess the efficacy and safety of topical timolol maleate combined with oral propranolol for parotid infantile hemangiomas. Between October 2012 and April 2014, propranolol was administered orally at a dose of 1.0-1.5 mg/kg/day to 22 infants with proliferating hemangiomas in the Department of Oral and Maxillofacial Surgery (Hospital of Stomatology, China Medical University, Shenyang, Liaoning, China). A small amount of 0.5% timolol maleate eye drop solution was topically applied with medical cotton swabs to the area of the lesion twice a day, every 12 h...
September 2016: Oncology Letters
Paolo Zaffino, Patrik Raudaschl, Karl Fritscher, Gregory C Sharp, Maria Francesca Spadea
PURPOSE: Multiatlas based segmentation is largely used in many clinical and research applications. Due to its good performances, it has recently been included in some commercial platforms for radiotherapy planning and surgery guidance. Anyway, to date, a software with no restrictions about the anatomical district and image modality is still missing. In this paper we introduce plastimatch mabs, an open source software that can be used with any image modality for automatic segmentation...
September 2016: Medical Physics
Yuichiro Ohshima, Yasuhiko Tamada
Hyperhidrosis can be subdivided into generalized hyperhidrosis, with increased sweating over the entire body, and focal hyperhidrosis, in which the excessive sweating is restricted to specific parts of the body. Generalized hyperhidrosis may be either primary (idiopathic) or secondary. Secondary generalized hyperhidrosis may be caused by infections such as tuberculosis, hyperthyroidism, endocrine and metabolic disturbances such as pheochromocytoma, neurological disorders, or drugs. Focal hyperhidrosis may also be primary (idiopathic) or secondary...
2016: Current Problems in Dermatology
Ming-Hui Mao, Lei Zheng, Xi-Ming Wang, Hua Li, Li-Zheng Qin, Jie Zhang, Zheng-Xue Han, Jian-Guo Zhang
BACKGROUND: This retrospective study was undertaken to analyze the effectiveness and safety of surgery combined with postoperative (125) I seed brachytherapy in the treatment of mucoepidermoid carcinoma (MEC) of the parotid gland with risk factors in pediatric patients. PROCEDURE: From September 2002 to January 2012, 24 patients, ages 5-16 years (mean, 13.2 years; median, 12.3 years), with MEC of the parotid gland were included. Patients with high risk factors received (125) I seed brachytherapy (median actuarial D90, 97 Gy) within 4 weeks following surgery...
August 31, 2016: Pediatric Blood & Cancer
Mehmet Özgür Avinçsal, Yurie Hiroshima, Hitomi Shinomiya, Hirotaka Shinomiya, Naoki Otsuki, Ken-Ichi Nibu
OBJECTIVE: First bite syndrome is the development of pain in the ipsilateral parotid region after the first few bites of food and can be seen after surgery of the upper cervical region. The aim of this study is to highlight the etiology of this potentially debilitating chronic pain syndrome. MATERIALS AND METHODS: Retrospective review of 53 patients undergoing surgery of the upper neck between 2002 and 2013. RESULTS: FBS developed in 16 patients (30%)...
August 12, 2016: Auris, Nasus, Larynx
Céleste Rebours, Vincent Couloigner, Louise Galmiche, Odile Casiraghi, Cécile Badoual, Sabah Boudjemaa, Anthony Chauvin, Monique Elmaleh, Brice Fresneau, Sylvie Fasola, Erea-Noël Garabédian, Thierry Van Den Abeele, Daniel Orbach
OBJECTIVES/HYPOTHESIS: To analyze clinical presentations, treatment modalities, and evolution of pediatric cases of salivary gland carcinomas to standardize care for these rare diseases. STUDY DESIGN: Multicentric, retrospective study. METHODS: We included in this retrospective study all children and adolescents (aged ≤18 years) treated from 1992 to 2012 in six pediatric centers in Paris, France. Pathological tumor specimens of these cases were reviewed...
August 6, 2016: Laryngoscope
Hong Liu, Jiao Pei, Yuxin He, Xiaojiao Lan, Ronghao Sun, Tiehong Deng, Yiquan Xu, Guiquan Zhu, Wei Wang, Yun Duan, Hong Ma, Shaoxin Wang, Jichuan Fan, Chao Li
OBJECTIVE: To compare the functional changes in parotid gland after surgical excision of pleomorphic adenoma by partial superficial parotidectomy (PSP), or conventional superficial parotidectomy (CSP). STUDY DESIGN: A prospective study including 117 patients undergoing CSP or PSP was performed. The uptake rate (UR) and excretion fraction (EF) of the parotid gland were measured by salivary gland scintigraphy before the surgery, as well as at months 3, 6, and 12 after the surgery; ΔUR and ΔEF, defined as the UR and EF differences between the contralateral side and the operated side, were also calculated...
October 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Maria Angela Gosein, Dylan Narinesingh, Cemonne Ann-Alicia Celeste Nixon, Sanjeeva Reddy Goli, Paramanand Maharaj, Alexander Sinanan
BACKGROUND: Cowden syndrome is an autosomal dominant disorder with a predisposition to multiple benign and malignant tumors. In our patient, in addition to breast and endometrial malignancies as well as facial trichilemmomas, she was noted to have multiple meningiomas, pancreatic lipomas and lung cysts. These latter lesions have been noted in previous Cowden syndrome case reports, but are not included in the diagnostic criteria at this time. To our knowledge, this is the first case of multiple meningiomas in this syndrome...
2016: BMC Research Notes
S W Park, T Eade, L Pang, A Wignall, D Veivers
OBJECTIVE: To investigate the rate of occult neck disease in patients with metastatic squamous cell carcinoma to the parotid gland following parotidectomy and neck dissection. METHODS: A consecutive series of patients treated between 2000 and 2014 for metastatic squamous cell carcinoma to the parotid were analysed. Patients were included if they had no clinical or radiological evidence of neck disease. Pathology of parotidectomy and neck dissection specimens was reviewed...
July 2016: Journal of Laryngology and Otology
Michael K Ritchie, Colin A Wilson, Brian W Grose, Pavithra Ranganathan, Stephen M Howell, Matthew B Ellison
A greater auricular nerve (GAN) block was used as the sole anesthetic for facial surgery in an 80-year-old male patient with multiple comorbidities which would have made general anesthesia challenging. The GAN provides sensation to the ear, mastoid process, parotid gland, and angle of the mandible. In addition to anesthesia for operating room surgery, the GAN block can be used for outpatient or emergency department procedures without the need for a separate anesthesia team. Although this nerve block has been performed using landmark-based techniques, the ultrasound-guided version offers several potential advantages...
April 26, 2016: Clinics and Practice
Yasmin Abu-Ghanem, Aviram Mizrachi, Aron Popovtzer, Nora Abu-Ghanem, Raphael Feinmesser
BACKGROUND: Recurrent pleomorphic adenoma (PA) of the parotid gland is a challenging surgical issue with controversy regarding management and long term outcome. METHODS: All patients who were operated for recurrent PA of the parotid gland between the years 1991 and 2013 were reviewed. Patient demographics, clinicopathologic variables, and operative details were collected retrospectively. RESULTS: A total of 22 patients were operated for recurrent PA of the parotid gland...
July 29, 2016: Journal of Surgical Oncology
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