Parotid swellings

ABSTRACT

Different types of parotid swellings along with methods of their treatment and subsequent complications were studied at the Department of Surgery, Peoples Medical College Hospital, Nawabashah during a six years period. Of the total 23 swellings, 14 were pleomorphic adenomas, 4 were cases of tuberculosis, two were lipomas, two malignant growths and one was adenolymphoma. Except two all patients underwent surgery. Two treatment options were adopted i.e. either enucleation or superficial parotidectomy. Most common postoperative complication was facial nerve palsy [neurapraxia type]. Other complications were flap gangrene, haematoma, seroma, salivary fistula and Prey's syndrome. Superficial parotidectomy was found to be a safer treatment option than enucleation