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[Long-term results of total conservative parotidectomy for pleomorphic adenoma]
O Laccourreye1, D Brasnu, R Cauchoix
1Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, Hôpital Laennec, Université Paris V.
Objectives:
Evaluation of the long-term results (10 and 15 years) achieved with total conservative parotidectomy for pleomorphic adenoma.
Methods:
A retrospective analysis of the files of 127 patients with pleomorphic adenoma of the parotid gland consecutively treated with a total conservative parotidectomy at our department from 1970 to 1985. Actuarial analysis (Kaplan Meier method) of survival and local recurrence, as well as overall estimation of immediate and definite postoperative facial paresis and paralysis was performed.
Results:
Ten- and fifteen-year survival and local control estimations were 90.8% and 99.1%, respectively. Immediate and permanent facial paresis and paralysis overall estimates were 64.6% and 6.3% and 2.1% and 0%, respectively.
Conclusion:
Total conservative parotidectomy for pleomorphic adenoma results in a very high long term local control associated with a very low rate of facial dysfunction.