ABSTRACT
This study aimed to determine the indications of partial superficial parotidectomy with extracapsular dissection and traditional superficial parotidectomy for the removal of pleomorphic adenoma. Retrospective review study. Department of Otorhinolaryngology and Head and Neck Surgery, King Abdulaziz University, KSA. Treatment of 30 patients of pleomorphic adenoma is reviewed. Partial superficial parotidectomy [PSP] and extracapsular dissection [ECD] were performed using nerve monitoring. Most of the tumors were 4-5 cm in diameter and located in the lower half of the gland. Postoperatively, we had 5 facial nerves weakness, which resolved within three months. No tumor recurrence or postoperative depression was observed. Some of the gland function was retained. This alternative approach is safe and can be considered in cases of small tumors of the superficial lobe of the parotid gland.