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Surgical options in benign parotid tumors: a proposal for classification
Miquel Quer1,2, Vincent Vander Poorten3,4, Robert P Takes5
1Department of Otolaryngology-Head and Neck Surgery, University Hospital de la Santa Creu i Sant Pau, Universitat Autonòma de Barcelona, Mas Casanovas, 90., 08041, Barcelona, Spain. mquer@santpau.cat.
Summary
Surgical treatment for benign parotid tumors remains debated. This review proposes a new staging system based on tumor size and location to guide surgical decisions and improve study comparisons.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Surgical Oncology
Background:
- Optimal surgical management for benign parotid gland tumors is a subject of ongoing discussion.
- Current treatment options range from limited resections to more extensive procedures, with varying preferences among surgical schools.
Purpose of the Study:
- To critically analyze existing literature on surgical options for benign parotid tumors.
- To propose a novel staging system to aid clinical decision-making and facilitate comparative studies.
Main Methods:
- Literature review of surgical approaches for benign parotid tumors.
- Development of a four-category staging system based on tumor size (≤3 cm vs. >3 cm) and location (number of parotid gland levels involved).
Main Results:
- Existing studies suffer from selection bias regarding surgical approaches.
- The proposed staging system categorizes tumors from I to IV based on size and location.
- Guidelines for surgical extent are proposed for each category and tumor type.
Conclusions:
- The proposed staging system aims to standardize the evaluation of surgical techniques for benign parotid tumors.
- This classification is intended to facilitate prospective multicentric studies and enable robust comparison of clinical outcomes.
