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Why Are We Doing Pediatric Parotid Surgery? Insights From a Tertiary Center's Experience
Dalton Barham1, Laura Brennan2, Nicola Stobbs1,2
1Sheffield Teaching Hospitals, Sheffield, UK.
Objective:
To establish common clinicopathological themes of pediatric parotidectomy, aid decision making, and compare this to previously reported features and outcomes.
Methods:
Retrospective cohort analysis of all pediatric parotidectomies over a 10-year period at a tertiary level pediatric hospital.
Results:
Thirty-one patients were identified (15 male, 16 female) between the ages of 1 and 16. Primary parotid tumor was the most common reason for surgery (n = 15), followed by congenital abnormalities (n = 12). The most common histopathological diagnosis was acinic cell carcinoma (n = 6). The most common complication was temporary facial nerve weakness (29%).
Conclusion:
Primary parotid tumors were the most common reason for parotidectomy, and most of these were malignant. Of these, Acinic Cell Carcinoma was more prevalent than Mucoepidermoid Carcinoma. Pediatric parotidectomy is safe with a low permanent complication rate, but patients should be specifically counseled about temporary facial nerve weakness and the small risk of permanent injury.
