Clinical Presentations And Surgical Outcomes Of Parotid Gland Tumors.

ABSTRACT

Abstract Background & Objective: To assess Clinical Presentations and Surgical Outcomes of various parotid gland tumors which required Parotidectomy. Methodology: The present retrospective study was carried out at the Department of E.N.T. & Head Neck Surgery, Medical College Vadodara from January 2010 to December 2014 and included 34 patients who underwent parotidectomy. Data were collected regarding clinical presentations, benign versus malignant nature of the disease on FNAC reports, radiological findings, type of surgery instituted, complications encountered and histology reports of the surgical specimens and subjected to statistical analysis. Results: All patients had presented with a lump usually painless. Thirty (88%) patients had benign pathology while four (12%) had malignancies. Most common surgical procedure instituted was superficial parotidectomy, performed in 90% (n = 31). The most common complication was Sialocele (n=5; 15%) followed by facial nerve palsy (n= 2; 6%).The value of FNAC as a diagnostic tool was with 96.66% specificity and 75% sensitivity. Conclusion: Pleomorphic adenoma is most common benign pathology. Superficial parotidectomy is the most commonly offered surgical procedure. Parotid surgeries are safely performed with low morbidity and no mortality.