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Investigation of arguments against properly indicated extracapsular dissection in the parotid gland
Konstantinos Mantsopoulos1, Claudia Scherl1, Heinrich Iro1
1Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg, Erlangen, Germany.
Background:
The ideal extent of surgical intervention for benign parotid tumors remains a matter of controversy. The purpose of this study was to examine the existing arguments against extracapsular dissection and present our experience over the last 16 years.
Methods:
A retrospective evaluation was carried out on the records of all patients who underwent extracapsular dissection for benign parotid tumors at a tertiary referral center between 2000 and 2015.
Results:
A total of 1359 cases were included in the study. Temporary postoperative facial palsy was detected in 68 cases (5%), permanent facial palsy in 5 cases (0.37%), and postoperative Frey's syndrome in 31 cases (2.3%). Recurrences of pleomorphic adenomas were shown in 4 cases (0.87%).
Conclusion:
Our analysis could not justify the arguments against correctly indicated implementation of extracapsular dissection and showed that increased performance of this modality was associated with excellent oncologic and functional outcomes. © 2016 Wiley Periodicals, Inc. Head Neck 39: 498-502, 2017.
