Issues‎ > ‎Vol4n2‎ > ‎

jsmc-10057


A REVIEW OF 27 PATIENTS TREATED WITH PAROTIDECTOMY AT AL-YARMOUK TEACHING HOSPITAL


Hayder Sabah Salem Al- Kawaz *, Ehsan H. Salem * and Shilan Hussein Karim **


*   Al-Yarmook Teaching Hospital.
** Department of Anatomy, School of Medicine, University of Sulaimani.


Submitted: 31/10/2013; Accepted: 18/2/2014


ABSTRACT

Background 

Parotid gland tumors are the majority of tumors which arise in the salivary glands. Recommended treatment for parotid pathologies is surgical excision. Injury of the facial nerve is the most common complication encountered after parotid surgery.

Objective

Analyzing the clinical presentations, histopathology and complications following parotid surgery. 

Methods

Patient’s documents were reviewed for those underwent parotidectomy between September 2006 to June 2012. Diagnosis and surgical procedure were standardized in all cases. All patients were monitored thoroughly specially for facial nerve injury and they were followed up for six months.

Results

27 patients underwent Parotidectomy with a mean age of 51 years, with male to female ratio 2.8:1. There were two false negative (FN) and one false positive (FP) reported cases by  ne needle aspiration cytology (FNAC) with sensitivity of 50% and a speci city of 95.65%. Pleomorphic adenoma was the commonest benign pathology (55.56%). Postoperative facial nerve injury encountered in (37.04 %). 80% of cases were completely recovered in 6 months.

Conclusion

FNAC should be performed in all patients but regarded only as a helpful investigation for management. And the risk of facial nerve palsy is related to the type, size and extend of the tumour and radicality of the resection done.

KEYWORDS

Parotid tumours,  fine needle aspiration cytology, facial nerve injury.