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- Publisher Website: 10.1017/S0022215106005445
- Scopus: eid_2-s2.0-34548394626
- PMID: 17166325
- WOS: WOS:000251077100014
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Article: Surgical treatment of chronic parotid sialadenitis
Title | Surgical treatment of chronic parotid sialadenitis |
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Authors | |
Keywords | Magnetic Resonance Imaging Parotidectomy Sialadenitis Parotid Gland |
Issue Date | 2007 |
Citation | Journal of Laryngology and Otology, 2007, v. 121, n. 9, p. 880-884 How to Cite? |
Abstract | Objective: To review the results of surgical management of chronic parotid sialadenitis refractory to medical therapy, with particular respect to long-term symptom resolution and development of post-operative complications. Methods: A retrospective review of parotidectomies performed for chronic intractable parotid sialadenitis. Information was collected about presentation, pre-operative investigations, surgical treatment, post-operative complications and outcome. Results: 36 parotidectomies were performed for chronic sialadenitis between 1991 and 2002. Age at presentation was 56±9.6 years, with median symptom duration of 2.3 years. For patients with non-specific presentations, magnetic resonance imaging (MRI) was the most useful pre-operative investigation. Superficial parotidectomy with duct preservation was the main treatment with a 94 per cent success rate, and near-total parotidectomy was reserved for patients with extensive deep-lobe involvement. Duct ligation significantly increased the risk of transient facial palsy. There was a 56 per cent and 22 per cent incidence of temporary facial paresis and Frey's syndrome, respectively. Conclusions: Controversies exist regarding the optimal pre-operative investigation and surgical treatment of chronic parotid sialadenitis. We advocate magnetic resonance image (MRI) scanning for patients with non-specific symptoms of sialadenitis, and sialography in the presence of reasonable clinical suspicion. We propose superficial parotidectomy without parotid duct ligation as the standard of care, with near-total parotidectomy reserved for extensive deep-lobe disease. © 2006 JLO (1984) Limited. |
Persistent Identifier | http://hdl.handle.net/10722/249018 |
ISSN | 2023 Impact Factor: 1.1 2023 SCImago Journal Rankings: 0.550 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Nouraei, S. A R | - |
dc.contributor.author | Ismail, Y. | - |
dc.contributor.author | McLean, N. R. | - |
dc.contributor.author | Thomson, P. J. | - |
dc.contributor.author | Milner, R. H. | - |
dc.contributor.author | Welch, A. R. | - |
dc.date.accessioned | 2017-10-27T05:58:53Z | - |
dc.date.available | 2017-10-27T05:58:53Z | - |
dc.date.issued | 2007 | - |
dc.identifier.citation | Journal of Laryngology and Otology, 2007, v. 121, n. 9, p. 880-884 | - |
dc.identifier.issn | 0022-2151 | - |
dc.identifier.uri | http://hdl.handle.net/10722/249018 | - |
dc.description.abstract | Objective: To review the results of surgical management of chronic parotid sialadenitis refractory to medical therapy, with particular respect to long-term symptom resolution and development of post-operative complications. Methods: A retrospective review of parotidectomies performed for chronic intractable parotid sialadenitis. Information was collected about presentation, pre-operative investigations, surgical treatment, post-operative complications and outcome. Results: 36 parotidectomies were performed for chronic sialadenitis between 1991 and 2002. Age at presentation was 56±9.6 years, with median symptom duration of 2.3 years. For patients with non-specific presentations, magnetic resonance imaging (MRI) was the most useful pre-operative investigation. Superficial parotidectomy with duct preservation was the main treatment with a 94 per cent success rate, and near-total parotidectomy was reserved for patients with extensive deep-lobe involvement. Duct ligation significantly increased the risk of transient facial palsy. There was a 56 per cent and 22 per cent incidence of temporary facial paresis and Frey's syndrome, respectively. Conclusions: Controversies exist regarding the optimal pre-operative investigation and surgical treatment of chronic parotid sialadenitis. We advocate magnetic resonance image (MRI) scanning for patients with non-specific symptoms of sialadenitis, and sialography in the presence of reasonable clinical suspicion. We propose superficial parotidectomy without parotid duct ligation as the standard of care, with near-total parotidectomy reserved for extensive deep-lobe disease. © 2006 JLO (1984) Limited. | - |
dc.language | eng | - |
dc.relation.ispartof | Journal of Laryngology and Otology | - |
dc.subject | Magnetic Resonance Imaging | - |
dc.subject | Parotidectomy | - |
dc.subject | Sialadenitis | - |
dc.subject | Parotid Gland | - |
dc.title | Surgical treatment of chronic parotid sialadenitis | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1017/S0022215106005445 | - |
dc.identifier.pmid | 17166325 | - |
dc.identifier.scopus | eid_2-s2.0-34548394626 | - |
dc.identifier.volume | 121 | - |
dc.identifier.issue | 9 | - |
dc.identifier.spage | 880 | - |
dc.identifier.epage | 884 | - |
dc.identifier.eissn | 1748-5460 | - |
dc.identifier.isi | WOS:000251077100014 | - |
dc.identifier.issnl | 0022-2151 | - |