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Pediatric parotidectomy outcomes: A 14-year multicenter study
Napadon Tangjaturonrasme1, Wisarut Samuckkeethum1, Hanpon Klibngern2
1Department of Otolaryngology, Faculty of Medicine Chulalongkorn University Bangkok Thailand.
Insights
Pediatric parotidectomy outcomes reveal facial nerve palsy is linked to malignant tumors and extensive surgery. Magnetic resonance imaging (MRI) accurately detects malignancy, while fine-needle aspiration (FNA) shows moderate diagnostic agreement.
Area of Science:
- Pediatric Surgery
- Otolaryngology
- Oncology
Background:
- Parotidectomy in children presents unique challenges.
- Understanding clinical profiles, investigations, and outcomes is crucial for optimizing care.
Purpose of the Study:
- To determine the clinical profiles, investigations, and outcomes of pediatric patients undergoing parotidectomy.
- To analyze the incidence and risk factors for facial palsy after parotidectomy in children.
Main Methods:
- A multicenter retrospective review was conducted.
- Data from 108 pediatric parotidectomies between 2007 and 2020 were analyzed.
Main Results:
- Benign (47.22%), malignant (36.11%), and non-neoplastic (16.67%) conditions were diagnosed.
- Facial palsy occurred in 37.03%, higher in total parotidectomy and malignancy groups.
- MRI demonstrated high accuracy (92.8%) for malignancy detection; FNA sensitivity was 54.2%.
Conclusions:
- Parotidectomy is frequently performed for benign and non-neoplastic pediatric parotid diseases.
- Facial nerve palsy is significantly associated with malignant tumors and total parotidectomy.
- MRI is the preferred imaging modality for malignant parotid lesions; FNA has moderate diagnostic value.
Objectives:
Parotidectomy increases childhood challenges. This study aimed to determine the clinical profiles, investigations, and outcomes of pediatric patients who had undergone parotidectomy.
Methods:
A multicenter retrospective review of parotidectomy in pediatric patients between 2007 and 2020.
Results:
In 108 parotidectomies, the final diagnoses were benign (47.22%), malignant (36.11%), and non-neoplastic (16.67%). The incidence of facial palsy was 37.03%, which was significantly lower in the superficial group than that in the total parotidectomy group (p = .021). The incidence of facial nerve palsy was significantly higher in the malignancy group than that in the benign group (p = .035). Magnetic resonance imaging (MRI) detected malignancy with 92.8% overall accuracy, 83.3% sensitivity, and 100% specificity. The sensitivity and specificity of fine-needle aspiration (FNA) were 54.2% and 92.7%, respectively.
Conclusions:
Parotidectomy is commonly performed for benign and non-neoplastic diseases in pediatric patients. Facial nerve palsy is significantly associated with malignant tumors and total parotidectomy. MRI is the most accurate imaging modality for diagnosing malignant lesions. FNA exhibits moderate agreement with the final pathology.
Level Of Evidence:
Level IV.
