Surgical options in benign parotid tumors: a proposal for classification.

Eur Arch Otorhinolaryngol 2017 Nov 21;274(11):3825-3836. Epub 2017 Jun 21.

Coordinator of the International Head and Neck Scientific Group, International Head and Neck Scientific Group, Padua, Italy.

Different surgical options are currently available for treating benign tumors of the parotid gland, and the discussion on optimal treatment continues despite several meta-analyses. These options include more limited resections (extracapsular dissection, partial lateral parotidectomy) versus more extensive and traditional options (lateral parotid lobectomy, total parotidectomy). Different schools favor one option or another based on their experience, skills and tradition. This review provides a critical analysis of the literature regarding these options. The main limitation of all the studies is the bias of selection for different surgical approaches. For this reason, we propose a staging system that could facilitate clinical decision making and the comparison of results. We propose four categories based on the size of the tumor and its location within the parotid gland. Category I includes tumors up to 3 cm, which are mobile, close to the outer surface and close to the parotid borders. Category II includes deeper tumors up to 3 cm. Category III comprises tumors greater than 3 cm involving two levels of the parotid gland, and category IV tumors are greater than 3 cm and involve more than 2 levels. For each category and for the various pathologic types, a guideline of surgical extent is proposed. The objective of this classification is to facilitate prospective multicentric studies on surgical techniques in the treatment of benign parotid tumors and to enable the comparison of results of different clinical studies.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00405-017-4650-4DOI Listing
November 2017
16 Reads

Publication Analysis

Top Keywords

parotid gland
12
gland category
8
tumors 3 cm
8
tumors greater
8
greater 3 cm
8
surgical options
8
parotid tumors
8
category includes
8
benign parotid
8
tumors
7
parotid
7
surgical
5
category
5
outer surface
4
size tumor
4
based size
4
categories based
4
propose categories
4
tumor location
4
location parotid
4

References

(Supplied by CrossRef)

WG Albergotti et al.
Laryngoscope 2012

E Foresta et al.
Oral Surg Oral Med Oral Pathol Oral Radiol 2014

S Xie et al.
Medicine (Baltimore) 2015

JL Roh et al.
Br J Surg 2007

P Zbären et al.
Am J Surg 2013

A Triantafyllou et al.
Head Neck Pathol 2015

JT Johnson et al.
J Laryngol Otol 2007

M Quer et al.
Eur Arch Otorhinolaryngol 2016

M Quer et al.
Acta Otorrinolaringol Esp 2010

J McFarland et al.
Surg Gynecol Obstet 1936

EG Benedict et al.
Surg Gynecol Obstet 1930

Similar Publications