Original Article

An Overview on Parotid Gland Masses: Surgical Experiences

Murat Gümüşsoy
Department of Otolaryngology Head and Neck Surgery, University of Health Sciences, Izmir Tepecik Training and Research Hospital, Izmir, Turkey

Worldwide Medicine 2019; 1(3): 83-89 | DOI: 10.5455/ww.48708      PDF


Abstract


Background: The aim of the research was to review the clinical diagnosis, radiological examination, surgical method, and histopathological results of the patients who were operated due to the diagnosis of parotid gland mass in accordance with the literature. Methods: Diagnosis, complaints and radiological examination and pre- and post-operative histopathological results of the patients, and surgical methods were retrospectively assessed between November 2013 and December 2018. Post- operative recurrence and exitus statuses of the patients were recorded. Results: In our clinic, a total of 184 patients, 101 male and 83 female patients, were assessed with the diagnosis of a parotid gland mass. Of the patients, 151 underwent superficial parotidectomy, 33 underwent total parotidectomy and neck dissection. The sensitivity was 87.9% and the specificity was 93.6% in the FNAB benign/malignant discrimination. Of the 151 patients who had benign cytology and 33 patients who had malignant pathology. Conclusion: The frozen section should be used for imaging methods for the diagnosis of malignant parotid gland masses, malignancy suspicion or during surgery after FNAB. Surgery should be expanded according to the frozen section results and radiotherapy should be planned based on histopathology results after total parotidectomy and neck dissection.

Keywords: Dysphonia, Thyroglossal duct cyst, Laryngeal mass.