A total of 151 parotidectomies (including 42 parotidectomies undertaken for LEL lesions) were performed in 147 patients; parotidectomy
was undertaken bilaterally in 4 patients.
(1) The usual treatment option is superficial parotidectomy
. A long-standing PA, over the period of many years, has a higher chance of malignant transformation.
We planned a total parotidectomy
including exeresis and reconstruction of the facial nerve.
Surgical procedures offered in this series are Superficial Parotidectomy
(40.47%), Total Conservative Parotidectomy
(28.57%), Total Parotidectomy
(2.38%) and Radical Parotidectomy
After informed consent was obtained, the patient underwent a typical subtotal superficial parotidectomy
, under general endotracheal anesthesia.
A transtemporal surgical approach was used in the 93 intratemporal and intradural tumor resections, while the 128 extratemporal lesions required a parotidectomy
with partial temporal bone dissection.
According to history, clinical examination and fine needle aspiration cytology findings, all cases appeared to be benign, so superficial parotidectomy
was done in all the cases.
Treatment of all cases was by to- tal lumpectomy, superficial parotidectomy
, and total parotidectomy
The most recent venture was undertaken at the recently opened Karl Storz Surgical Skills Centre at Red Cross Children's Hospital (with Professor johan Fagan leading a head and neck surgery course and demonstrating a parotidectomy
, facial nerve dissection, and submandibular gland excision).
The gross examination of the superficial parotidectomy
specimen showed a firm infiltrative mass (3.8 cm in greatest dimension) around the cystic mass (2.5 cm) (Figure 3, A).
Station's ENTceps is specifically designed for procedures where fine precision, soft tissue sealing and dividing is required, such as tonsillectomy, parotidectomy
, thyroidectomy and uvulopalatopharyngoplasty.
in Cape Town--a review of pathology and management.