[Current trends in surgery for benign parotid lesions]

Area of Science:

• Otolaryngology
• Surgical Oncology
• Head and Neck Surgery

Background:

• Parotidectomy is the standard treatment for benign parotid tumors.
• Minimizing surgical morbidity is a key objective in parotid surgery.
• The optimal surgical technique for parotid tumors remains under discussion.

Purpose of the Study:

• To review current trends in surgical treatment for benign parotid lesions.
• To discuss the advantages of limited parotidectomy techniques.
• To outline management strategies for post-parotidectomy complications.

Main Methods:

• Review of current literature on parotidectomy techniques.
• Analysis of evidence regarding complication rates associated with different surgical approaches.
• Description of preoperative diagnostic work-up and patient selection criteria.
• Illustration of treatment options for major post-parotidectomy complications.

Main Results:

• Limited parotidectomy techniques are associated with fewer complications.
• Lower prevalence of permanent facial nerve palsy and Frey's syndrome observed with limited techniques.
• Accurate preoperative assessment is essential for successful limited parotidectomy.

Conclusions:

• Limited parotidectomy offers reduced morbidity for benign parotid tumors.
• Careful patient selection and precise diagnostics are paramount for limited parotidectomy success.
• Understanding current trends and complication management is vital for optimizing parotid surgery outcomes.