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Parotid function after selective deep lobe parotidectomy.

Giuseppe Colella1, Amerigo Giudice, PierFrancesco Rambaldi

  • 1Department of Head and Neck Surgery, Second University of Naples, Piazza Miraglia 80100, Naples, Italy.

The British Journal of Oral & Maxillofacial Surgery
|June 20, 2006
PubMed
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Selective deep lobe parotidectomy preserves parotid gland function and improves cosmetic outcomes. This surgical approach minimizes facial contour impact and postoperative morbidity, making it an effective treatment for deep lobe parotid tumors.

Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Surgical Oncology

Background:

  • Parotid gland tumors are common, requiring surgical intervention.
  • Selective deep lobe parotidectomy is a specialized technique aiming to preserve glandular function and improve cosmetic results.
  • Frey's syndrome is a potential complication of parotid surgery.

Purpose of the Study:

  • To evaluate the postoperative function of the superficial lobe of the parotid gland after selective resection of the deep lobe.
  • To assess the functional and cosmetic outcomes of selective deep lobe parotidectomy.

Main Methods:

  • A cohort of 12 patients with deep lobe parotid masses underwent selective deep lobe parotidectomy.
  • Preoperative diagnosis utilized computed tomography (CT), ultrasound, and fine needle aspiration cytology.

Related Experiment Videos

  • Postoperative assessment at 6 months included House-Brackmann test, iodine starch test, and parotid scintigraphy with concentration index (CI) evaluation.

    • Main Results:

    • The mean concentration index (CI) for the resected gland was 5.5 (S.D. 3.6), with a CI percentage ratio of 84%.
    • The study demonstrated preserved concentration function of the parotid gland on the resected side.
    • No increase in postoperative morbidity was observed.

    Conclusions:

    • Selective deep lobe parotidectomy is a viable surgical option for deep lobe parotid tumors.
    • This technique effectively minimizes cosmetic impact and preserves parotid gland function.
    • The procedure is associated with low postoperative morbidity and reduced incidence of Frey's syndrome.