Nuestra experiencia en cirugía parotídea tumoral

  1. Tamara González Paz 1
  2. Marta Paulos Novoa 1
  3. Abdul Nehme Paz 1
  4. Gabriel Álvarez Curro 1
  5. Nieves Rodríguez Acevedo 1
  6. Ismael Arán González 1
  1. 1 Complexo Hospitalario Universitario de Pontevedra
    info

    Complexo Hospitalario Universitario de Pontevedra

    Pontevedra, España

    ROR https://ror.org/016cxc226

Revista:
Acta Otorrinolaringológica Gallega

ISSN: 2340-3438

Ano de publicación: 2015

Número: 8

Páxinas: 63-69

Tipo: Artigo

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Outras publicacións en: Acta Otorrinolaringológica Gallega

Resumo

Introduction and objectives: The most common parotid tumors are benign lesions. It is considered as surgical technique of choice for parotid tumors, in the case of partial surgery benign tumors and malignant tumors of the total parotidectomies. In this study the objective is to evaluate the usefulness of radiological tests and cytology, as well as the surgical technique in each lesion. Material and methods: We analyze variables such as age, sex, tumor type, location, and FNA ultrasound diagnosis, surgical technique, pathologic examination final grade (House-Brackmann) and evolution of facial paralysis, other complications, recurrence, and median survival time mortality. Results: We have a sensitivity of 88% and specificity of 59% in ultrasound. We objectify for benign lesions 19% of postoperative facial paralysis, decreasing to 3% after six months. We had a 4.6% relapse, all in pleomorphic adenomas who underwent lumpectomy. In malignant lesions the percentage of postoperative facial paralysis was 41.6%, decreasing to 37.4% in the first six months. Conclusions: The FNA cytology gives a proper preoperative diagnosis. Conducting a superficial partial parotidectomy involves no greater risk of facial nerve injury. Not necessarily consider intraoperative monitoring of the facial nerve

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