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This page shows you the latest news and research items in this category.

Inflammatory myofibroblastic tumor of parotid in infancy—A new entity
Abstract: Inflammatory myofibroblastic tumor is commonly found in lungs, mesentery or omentum in the younger population. We hereby report a hitherto unreported case of inflammatory myofibroblastic tumor, arising from the parotid gland in an infant. Diagnosis by histopathology and its treatment by superficial parotidectomy is being presented. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - April 22, 2013 Category: ENT & OMF Authors: Anjan Kumar Dhua, Mohit Garg, Amita Sen, Devender S. Chauhan Tags: Case reports Source Type: research

Epidemiology of iatrogenic facial nerve injury: A decade of experience
ConclusionsIatrogenic facial nerve injury occurs most commonly in temporomandibular joint replacement, mastoidectomy, and parotidectomy. Direct visualization of the nerve may decrease the incidence of injury, and early referral for facial nerve exploration may result in improved outcomes. Level of Evidence2b. Laryngoscope, 2013 (Source: The Laryngoscope)
Source: The Laryngoscope - April 18, 2013 Category: ENT & OMF Authors: Marc H. Hohman, Prabhat K. Bhama, Tessa A. Hadlock Tags: Otology/Neurotology Source Type: research

Parotid gland lymphoma: Prognostic analysis of 2,140 patients
ConclusionsNon‐Hodgkin lymphoma is the predominant type of lymphoma seen in the parotid gland. Patient and histologic features determine survival, and surgery is often performed. Facial nerve sacrifice, which is contraindicated given the systemic nature of lymphoma and the role of chemotherapy and radiation in its treatment, is reported in 6.4% of patients with parotid gland lymphoma. Level of Evidence2b Laryngoscope, 2013 (Source: The Laryngoscope)
Source: The Laryngoscope - April 10, 2013 Category: ENT & OMF Authors: Aaron J. Feinstein, Maria M. Ciarleglio, Xiangyu Cong, Michael D. Otremba, Benjamin L. Judson Tags: Head and Neck Source Type: research

Parotid gland lymphoma: Prognostic analysis of 2140 patients
ConclusionsNon‐Hodgkin lymphoma is the predominant type of lymphoma seen in the parotid gland. Patient and histologic features determine survival, and surgery is often performed. Facial nerve sacrifice, which is contraindicated given the systemic nature of lymphoma and the role of chemotherapy and radiation in its treatment, is reported in 6.4% of patients with parotid gland lymphoma. Level of Evidence2b. (Source: The Laryngoscope)
Source: The Laryngoscope - April 10, 2013 Category: ENT & OMF Authors: Aaron J. Feinstein, Maria M. Ciarleglio, Xiangyu Cong, Michael D. Otremba, Benjamin L. Judson Tags: Head and Neck Source Type: research

Association between skin flap thickness and Frey's syndrome in parotid surgery
ConclusionsIn conclusion, sub‐SMAS elevation of the skin flap in parotid surgery provides better results regarding Frey's Syndrome. © 2013 Wiley Periodicals, Inc. Head Neck, 2013 (Source: Head and Neck)
Source: Head and Neck - March 8, 2013 Category: ENT & OMF Authors: Osman Durgut, Oguz Basut, Uygar Levent Demir, Ömer A. Özmen, Fikret Kasapoglu, Hakan Coskun Tags: Original Article Source Type: research

Conjunctival melanoma with metastasis to the parotid gland in a 10 year-old boy: A case report and literature review
Conclusion: Malignant melanomas of the conjunctiva are extremely rare in children and even more rare to present with metastasis. We hereby present the second case of conjunctival melanoma metastatic to the parotid in a pediatric patient. (Source: International Journal of Pediatric Otorhinolaryngology Extra)
Source: International Journal of Pediatric Otorhinolaryngology Extra - March 7, 2013 Category: ENT & OMF Authors: Laila Al Masaoudi, Alyssa Kanaan, Sam J Daniel Tags: Case reports Source Type: research

Lymphadenectomy for anterior cutaneous malignancies of the head and neck
Cutaneous cancer is the most common malignancy in the United States. Basal cell carcinomas (BCC), squamous cell carcinomas (SCC) and Merkel cell carcinoma (MCC) represent the nonmelanoma category and correspond to 3.5 million skin cancers annually. Melanoma, a more aggressive skin cancer with a higher propensity for regional metastases, represents 5% of all diagnosed skin cancers, but 75% of skin cancer related deaths. Appropriate evaluation and management of regional lymph nodes is an important part of workup, staging and prognosis. Cervical lymphadenectomy in anterior cutaneous malignancies is dependent on the histology ...
Source: Operative Techniques in Otolaryngology - Head and Neck Surgery - March 1, 2013 Category: ENT & OMF Authors: Jennifer R. Cracchiolo, Jeffrey C. Liu Source Type: research

Frey's syndrome: diagnosis in geriatric dentistry
Frey's syndrome, is characterized by warmth, flushing and sweating of the face, most of time in the preauricular region, initiated by any gustatory stimulus. It is frequently related to parotid surgery. A case of Frey's syndrome in a 81‐year‐old female whose long‐delayed clinical onset post‐parotidectomy is presented. (Source: Gerodontology)
Source: Gerodontology - March 1, 2013 Category: Dentistry Authors: Liana Rodrigues T. de Carvalho, Crislanne S.R. Nina, Maria Helena L. Fernandes, Yeda M. Parro, Sergio B. Macedo, Erica N. Lia Tags: Case report Source Type: research

Interventional Sialendoscopy After Sialadenectomy
ConclusionsSialendoscopy is a safe and frequently effective intervention for persistent sialolithiasis and sialadenitis after salivary gland excision. Level of Evidence4 Laryngoscope, 2012 (Source: The Laryngoscope)
Source: The Laryngoscope - February 20, 2013 Category: ENT & OMF Authors: Sunitha M. Sequeira, Brian Nussenbaum, M. Allison Ogden Tags: Head and Neck Source Type: research

Oncocytic carcinoma of the parotid gland
Conclusions:Conservative parotidectomy is not radical enough to treat oncocytic carcinoma of the parotid gland. Elective neck dissection is recommended for patients with cancer stage T2 to 4. Surgery with postoperative 125I brachytherapy leads to good local control for patients with advanced disease or with positive or close resection margins. (Source: The Laryngoscope)
Source: The Laryngoscope - February 12, 2013 Category: ENT & OMF Authors: Ming‐Wei Huang, Jian‐Guo Zhang, Jie Zhang, Shu‐Ming Liu, Lei Zheng, Yan Shi, Dian‐Yin Shi, Guang‐Yan Yu Tags: Head and Neck Source Type: research

A unique presentation of Epstein-Barr virus-associated Castleman's disease
We present a unique case of Castleman’s disease in a patient with concomitant EBV infection, which mimicked the clinical presentation of Nasopharyngeal Carcinoma (NPC) versus lymphoma. After a delayed diagnosis, the patient underwent a left superficial parotidectomy and neck dissection and has had no recurrence of disease. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - February 11, 2013 Category: Endocrinology Authors: Heather Gomes, Phillip Huyett, Nora Laver, Richard O. Wein Tags: Case Reports Source Type: research

Lipomatous Lesions of the Parotid Gland
ConclusionsWe present the largest series, to our knowledge, of lipomatous lesions of the parotid gland. These masses, although rare, should be considered in the evaluation of a parotid mass. This series provides insight into the clinical presentation, diagnostic evaluation, and surgical treatment of parotid lipomatous lesions. Surgical extent depends on lesion location in the gland. Lipomatous masses can be effectively treated surgically with low morbidity and high cure rates. Level of Evidence4 (Source: The Laryngoscope)
Source: The Laryngoscope - February 9, 2013 Category: ENT & OMF Authors: Sidney J. Starkman, Steven M. Olsen, Jean E. Lewis, Kerry D. Olsen, Alain Sabri Tags: Head and Neck Source Type: research

Superficial musculoaponeurotic system flap in partial parotidectomy and clinical and subclinical Frey's syndrome. Cosmesis and quality of life
ConclusionsProvided that the intensity of sweating is the main factor affecting the quality of life after surgery in patients, performing a SMAS flap renders the intervention worthwhile. © 2013 Wiley Periodicals, Inc. Head Neck, 2013 (Source: Head and Neck)
Source: Head and Neck - February 1, 2013 Category: ENT & OMF Authors: Rafael Barberá, Felipe Castillo, Claudio D'Oleo, Susana Benítez, Ignacio Cobeta Tags: Clinical Review Source Type: research

Eustachian tube pressure equilibration. Temporal analysis of pressure changes based on direct physiological recordings with an intact tympanic membrane.
In conclusion, under physiological conditions the opening of the Eustachian tube behaves similarly to a reflex mechanism with relative constant duration. Therefore, in order to equilibrate higher pressure gradients, series of Eustachian tube openings are needed, rather than the tube will open during a longer period of time. PMID: 23347915 [PubMed - as supplied by publisher] (Source: Hearing Research)
Source: Hearing Research - January 21, 2013 Category: Audiology Authors: Gaihede M, Padurariu S, Jacobsen H, De Greef D, Dirckx JJ Tags: Hear Res Source Type: research

Synchronous ipsilateral sebaceous lymphadenoma and membranous basal cell adenoma of the parotid
In this report, we present the case with its management, followed by a discussion of the histopathologic nature of each tumor including the possible overlap between these two entities. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - January 10, 2013 Category: ENT & OMF Authors: Erica L. Scheller, Cedric V. Pritchett, Abhishek Shukla, Jon Paul Pepper, Lawrence J. Marentette, Jonathan B. McHugh Tags: Online Only Articles Source Type: research

Reconstruction of complex defects of the parotid region using a lateral thoracic wall donor site
We report our experience using the lateral thoracic wall as a single donor site.Between 2003 and 2009, four patients with malignant tumours in the parotid gland underwent radical parotidectomy and simultaneous reconstruction using a perforator latissimus dorsi cutaneous free flap (de-epithelialized and entire skin paddle in two cases each). A thoracodorsal nerve graft was used in all cases to replace the intraglandular branches of the facial nerve. Costal grafts were used for mandibular reconstruction in two patients. All patients underwent postoperative physiotherapy. No donor-site complication occurred and all treatments...
Source: Journal of Cranio-Maxillofacial Surgery - December 13, 2012 Category: ENT & OMF Authors: Federico Biglioli, Marco Pedrazzoli, Dimitri Rabbiosi, Giacomo Colletti, Valeria Colombo, Alice Frigerio, Luca Autelitano Source Type: research

Parotidectomy under local anesthesia—report of 7 cases
Conclusion: Parotidectomy under local anesthesia can be conducted successfully and avoid the adverse effect of general anesthesia. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - December 11, 2012 Category: Endocrinology Authors: Tam-Lin Chow, Chi-Yee Choi, Siu-Ho Lam Tags: Case Reports Source Type: research

Botulinum toxin treatment of salivary fistulas following parotidectomy: follow-up results
Conclusion In summary, botulinum toxin injections into the parotid tissue remaining after surgery appear to be an effective treatment for salivary fistulas following parotidectomy. Content Type Journal ArticleCategory Original ArticlePages 1-5DOI 10.1007/s10006-012-0375-0Authors Rainer Laskawi, Department of Otorhinolaryngology, University of Göttingen Medical Center, Robert-Koch-Str. 40, 37075 Göttingen, Lower Saxony, GermanyJan Winterhoff, Department of Otorhinolaryngology, University of Göttingen Medical Center, Robert-Koch-Str. 40, 37075 Göttingen, Lower Saxony, GermanySabrina Köhler, Depart...
Source: Oral and Maxillofacial Surgery - November 25, 2012 Category: ENT & OMF Tags: Oral and Maxillofacial Surgery Source Type: research

Temporal Bone Malignancies
Primary temporal bone tumors are rare. Suspicious lesions of the ear canal should be biopsied for diagnosis. Surgical resection to achieve negative margins is the mainstay of treatment. Small tumors can be treated with lateral temporal bone resection. Parotidectomy and neck dissection are added for disease extension and proper staging. Higher staged tumors generally require subtotal temporal bone resection or total temporal bone resection. Adjuvant postoperative radiotherapy has shown improved survival for some patients. Chemotherapy has an emerging role for advanced stage disease. Evaluation and management by a multidisci...
Source: Neurosurgery Clinics of North America - November 21, 2012 Category: Neurosurgery Authors: Paul W. Gidley, Franco DeMonte Source Type: research

A case of necrotizing sialometaplasia involving bilateral parotid glands
We report a case of necrotizing sialometaplasia diagnosed after superficial parotidectomy due to bilateral parotid masses in a 69-year old heavy smoking female. (Source: American Journal of Otolaryngology)
Source: American Journal of Otolaryngology - November 15, 2012 Category: Endocrinology Authors: Young-Ha Kim, Young Hoon Joo, Jeong-Hoon Oh Tags: Case Reports Source Type: research

Carotid sinus syndrome as the presenting symptom of cystadenolymphoma
Carotid sinus syndrome is a serious manifestation of head and neck malignancy. The purpose of this study was to clarify the presence of carotid sinus syndrome in a patient with cystadenolymphoma. To our knowledge carotid sinus syndrome secondary to cystadenolymphoma has not been reported to date. A 45-year-old woman with one-week-old swelling in the left mandibular angle having disturbing symptoms of vertigo, consciousness and sinus arrest. Holter monitoring revealed several episodes of sinus arrest. Ultrasonography showed a well-defined space-occupying lesion of about 31 mm in length and 17 mm in width located in the deep...
Source: Head and Face Medicine - November 14, 2012 Category: ENT & OMF Authors: Nelson NorooziAli ModabberFrank HölzleTill BraunschweigDieter RiedigerMarcus GerressenAlireza Ghassemi Source Type: research

Quality of Life Following Surgical Treatment of Benign Parotid Disease
Abstract To evaluate the quality of life after surgery for benign neoplastic disease of the parotid gland. Forty-nine patients who underwent surgery for benign parotid disease between January 2004 and December 2008 were included in this retrospective study. EORTC QLQ-C30 and EORTC QLQ-H&N35 questionnaires were used to determine the quality of life. The variables of these questionnaires were compared with age, gender, educational status, histopathologic diagnosis and Frey syndrome. A statistically significant correlation was noted between the female gender and post-surgical pain, sleeplessness and the use of ...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - October 29, 2012 Category: ENT & OMF Tags: Indian Journal of Otolaryngology and Head & Neck Surgery Source Type: research

Parotidectomy and submandibulectomy for benign diseases in Thuringia, Germany: a population-based study on epidemiology and outcome
Abstract Although salivary gland surgery for benign diseases is an integral part of clinical routine of head and neck surgeons, there is not many population-based data published on incidence and efficiency of this surgery. Parotidectomy was performed in 180 patients and submandibulectomy in 97 patients for benign diseases in eight otorhinolaryngology and two maxillofacial surgery departments in Thuringia, Germany, in 2005. All patients were analysed regarding patients’ characteristics, therapy, complications and further course of disease. Predominant indications were epithelial tumours for parotidectomy (7...
Source: European Archives of Oto-Rhino-Laryngology - October 16, 2012 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: research

Pleomorphic adenoma of the parotid: formal parotidectomy or limited surgery?
Conclusions: Almost all pleomorphic adenomas can be effectively treated by formal parotidectomy, but the procedure is not mandatory. Extracapsular dissection is a minimal margin surgery; therefore, in the hands of a novice or occasional parotid surgeon, it may result in higher rates of recurrence. Partial superficial parotidectomy may be a good compromise. The tumor is removed with a greater cuff of healthy parotid tissue than in extracapsular dissection. This may minimize the recurrence rate. On the other hand, the removal of healthy parotid tissue compared with formal parotidectomy is limited, thus minimizing complicatio...
Source: American Journal of Surgery - October 16, 2012 Category: Surgery Authors: Peter Zbären, Vincent Vander Poorten, Robert L. Witt, Julia A. Woolgar, Ashok R. Shaha, Asterios Triantafyllou, Robert P. Takes, Alessandra Rinaldo, Alfio Ferlito Tags: Review Articles Source Type: research

Accessory parotid gland tumours: 24 years of clinical experience
Abstract: The accessory parotid gland (APG) is salivary tissue anterior to and anatomically separate from the parotid gland. APG is a common anatomical variation, but APG tumours are extremely rare. The authors report 6 patients with APG tumours emphasizing the diagnosis, clinical features, indications and rationales for different treatment approaches. Patients with primary tumours of the parotid gland or APG tumours who underwent surgical treatment were included. APG tumours comprised 1.23% of overall parotid tumours (6/488) and had a malignancy rate of 33.3% (2/6). There were three male and three female patients with a m...
Source: International Journal of Oral and Maxillofacial Surgery - October 11, 2012 Category: ENT & OMF Authors: I. Lukšić, P. Suton, M. Rogić, S. Dokuzović Tags: Head and Neck Oncology Source Type: research

LigaSure small jaws versus cold knife dissection in superficial parotidectomy
The objective of this study was to evaluate the use of LigaSure small jaws in superficial parotidectomy for blood loss, operative time and facial nerve function. This was a prospective non-randomized study of 35 patients with a benign parotid tumor. Sixteen patients had LigaSure small jaws parotidectomy, and 19 patients had cold knife parotidectomy. Operative time, blood loss, facial palsy and other complications were assessed. The use of LigaSure was associated with a significant reduction in mean operative time (128 min vs. 155, p = 0.04) and intraoperative blood loss (40 mL vs. 115 mL, p&nbs...
Source: European Archives of Oto-Rhino-Laryngology - October 1, 2012 Category: ENT & OMF Tags: European Archives of Oto-Rhino-Laryngology Source Type: research

Parotidectomy and neck dissection in the management of conjunctival melanoma: Are they necessary?
Conclusions:Conjunctival melanoma is a rare malignancy traditionally managed with aggressive treatment to optimize local control. The role for staging parotidectomy with or without neck dissection has been heavily debated. Based on our review, parotidectomy only needs to be undertaken when high suspicion for metastatic spread is present, such as a palpable or radiographically evident mass. In addition, without documented parotid disease, neck dissection is not required. (Source: The Laryngoscope)
Source: The Laryngoscope - September 24, 2012 Category: ENT & OMF Authors: Darshni Vira, Julianna Pesce, Ben J. Glasgow, Chi Lai, David Elashoff, Elliot Abemayor, Maie St. John Tags: Head and Neck Source Type: research

Evidence‐based surgical management of T1 or T2 temporal bone malignancies
Conclusions:LTBR with superficial parotidectomy offers the greatest chance of cure for early‐stage EAC carcinoma. Intraoperative frozen sections are necessary to determine the tumor‐free lateral EAC margins. Postoperative radiotherapy is not strongly recommended for early‐stage EAC carcinoma after LTBR. (Source: The Laryngoscope)
Source: The Laryngoscope - September 24, 2012 Category: ENT & OMF Authors: Ting Zhang, Wei Li, Chunfu Dai, Fanglu Chi, Shuyi Wang, Zhengmin Wang Tags: Head and Neck Source Type: research

The cervico-submental keystone island flap for locoregional head and neck reconstruction
Conclusion: The CSM keystone-design perforator island flap is a novel and versatile flap, which can be used in a range of advanced cheek and parotidectomy defects, and may enable improved surgical management in an increasingly elderly and high-risk population. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 13, 2012 Category: Cosmetic Surgery Authors: Felix C. Behan, Warren M. Rozen, Jeremy Wilson, Shivam Kapila, Andrew Sizeland, Michael W. Findlay Tags: Original Articles Source Type: research

Transcervical approach to benign parapharyngeal space tumors.
CONCLUSIONS: The majority of PPS tumors are benign. It is important to use an approach that allows complete tumor excision but does not impart undue postoperative morbidity. We demonstrate that the transcervical approach without submandibular gland excision, parotidectomy, or mandibulotomy is ideal for benign PPS tumors. PMID: 23012902 [PubMed - in process] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - September 1, 2012 Category: ENT & OMF Authors: Chang SS, Goldenberg D, Koch WM Tags: Ann Otol Rhinol Laryngol Source Type: research

Primary Sebaceous Carcinoma of the Lacrimal Gland.
Abstract Primary sebaceous carcinoma is an exceptionally rare tumor of the lacrimal gland and less than 10 cases have been so far published in the literature. Two adult patients aged 38 and 81 years, respectively, who suffered unilateral painful massive swelling of the lacrimal gland are described. The disease in the first patient initially manifested as ipsilateral parotid gland metastasis and the primary tumor could be detected 3 months later. Both tumors were rock hard and fixed on palpation, caused partial upper eyelid ptosis, displaced the globe anteromedially and impaired ocular motility. Magnetic resonance i...
Source: Orbit - August 21, 2012 Category: Opthalmology Authors: Kiratli H, Tarlan B, Fırat P Tags: Orbit Source Type: research

Rehabilitation of a parotidectomy patient—A systematic approach
This article provides a comprehensive review of the medical literature on the subject and contrives a systematic approach to the use of various reconstructive techniques. Head Neck, 2012 (Source: Head and Neck)
Source: Head and Neck - August 21, 2012 Category: ENT & OMF Authors: Oleg N. Militsakh, Jeremy A. Sanderson, Derrick Lin, Mark K. Wax Tags: Clinical Review Source Type: research

Graft for Prevention of Frey Syndrome After Parotidectomy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Conclusions: The present clinical evidence suggests that grafts are effective in preventing Frey syndrome after parotidectomy. More randomized clinical trials are needed to confirm our conclusions and prove the safety of the grafts. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - August 13, 2012 Category: ENT & OMF Authors: Chunjie Li, Xianrui Yang, Jian Pan, Zongdao Shi, Longjiang Li Tags: Surgical Oncology and Reconstruction Source Type: research

Surgical Management of Benign Tumors of the Parotid Gland: Extracapsular Dissection Versus Superficial Parotidectomy—Our Experience in 232 Cases
Conclusions: Extracapsular dissection showed similar effectiveness and fewer side effects than superficial parotidectomy and could be considered as the treatment of choice for tumors located in the superficial portion of the parotid gland. (Source: Journal of Oral and Maxillofacial Surgery)
Source: Journal of Oral and Maxillofacial Surgery - August 13, 2012 Category: ENT & OMF Authors: Giovanni Dell'Aversana Orabona, Paola Bonavolontà, Giorgio Iaconetta, Raimondo Forte, Luigi Califano Tags: Surgical Oncology and Reconstruction Source Type: research

Minimally invasive endoscopic resection of benign tumours of the accessory parotid gland: an updated approach
Abstract: The most common conventional approaches for the resection of benign tumours in the accessory parotid gland are a standard parotidectomy incision, a modified standard parotidectomy incision, or a face-lift incision. The resulting scars may severely affect the patient's postoperative appearance. The previously reported endoscopically assisted approach offers a less aesthetically invasive technique, but it may still leave a visible preauricular scar 4–5cm long. We have used a modified endoscopic approach with minimal, and concealed, incisions for the resection of benign tumours in the accessory parotid gland. Five...
Source: The British Journal of Oral and Maxillofacial Surgery - August 13, 2012 Category: ENT & OMF Authors: Biao Li, Lei Zhang, Zeliang Zhao, Guofang Shen, Xudong Wang Tags: CPD Articles Source Type: research

Reconstruction of parotid duct using autologous vein graft and venous coupler
We describe reconstruction of the parotid duct using an autologous vein graft anastomosed to the stump of the duct with a venous coupler after partial resection for a minor salivary gland tumour close to the orifice. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - August 9, 2012 Category: ENT & OMF Authors: S. Colbert, F. Haider, E. Tan, P.A. Brennan Tags: Technical Notes Source Type: research

Synchronous Bilateral Multifocal Acinic Cell Carcinoma of Parotid Gland: Case Report and Review of the Literature
A 55-year-old woman presented with a 2-year history of slow growing painless masses in both sides of the preauricular area. Ultrasound scanning of the bilateral parotid region revealed multiple tumors in both sides of the parotid gland. After superficial parotidectomy, selective neck dissection of levels II and III were performed on the left side of the parotid gland, and superficial parotidectomy was performed on the right side. Histopathologic examination revealed both of the sides of parotid gland tumors to be acinic cell carcinoma. We discuss the clinicopathologic findings of synchronous bilateral multifocal acinic cel...
Source: Journal of Oral and Maxillofacial Surgery - August 6, 2012 Category: ENT & OMF Authors: Yu-Lin Jia, Sedhain P. Bishwo, Xiu Nie, Li-Li Chen Tags: Surgical Oncology and Reconstruction Source Type: research

Interobserver variation in clinical target volume and organs at risk segmentation in post-parotidectomy radiotherapy: can segmentation protocols help?
Conclusions: There was low conformity for CTVs and OARs between different clinicians. The CL for CTVs improved with use of a segmentation protocol, but the CLs remained lower than expected. This study supports the need for clear guidelines for segmentation of target and OARs to compare and interpret the results of head and neck cancer radiation studies. PMID: 22815423 [PubMed - in process] (Source: The British Journal of Radiology)
Source: The British Journal of Radiology - August 1, 2012 Category: Radiology Authors: Mukesh M, Benson R, Jena R, Hoole A, Roques T, Scrase C, Martin C, Whitfield GA, Gemmill J, Jefferies S Tags: Br J Radiol Source Type: research

Spinal metastasis from acinic cell carcinoma of the parotid gland: a case report
Conclusions: This case report underscores the importance of careful evaluation of patients presenting with back pain with a history of malignancy. It also calls into question the traditional low-grade classification ascribed to these tumors, given their ability to metastasize after complete excision and adjuvant therapy. (Source: The Spine Journal)
Source: The Spine Journal - August 1, 2012 Category: Orthopaedics Authors: Jason D. Zook, Mladen Djurasovic, John R. Dimar, Leah Y. Carreon Tags: Case Reports Source Type: research

Parotid surgery for benign tumours
Conclusion There is currently no agreement in the literature about the extent of surgery for BPTs to obtain an adequate margin. The tumour nerve interface is the predetermined area at risk for tumour spillage and positive margin. A prolonged follow-up is recommended. Further long-term randomised clinical trials are required to address the question of the extent of the excision in benign parotid surgery. Content Type Journal ArticleCategory Review ArticlePages 1-6DOI 10.1007/s10006-012-0352-7Authors Farzad Borumandi, Department of Oral and Maxillofacial Surgery, Northwick Park Hospital, North West L...
Source: Oral and Maxillofacial Surgery - July 31, 2012 Category: ENT & OMF Tags: Oral and Maxillofacial Surgery Source Type: research

Usefulness of platysma muscle flap following superficial parotidectomy
The objective starch-iodine test was used to determine the incidence of Frey's syndrome. The postoperative aesthetic outcome of retromandibular contour was evaluated in all the patients.Results: The score in platysma flap group was significantly higher than the scores in the conventionally treated group (P (Source: Journal of Cranio-Maxillofacial Surgery)
Source: Journal of Cranio-Maxillofacial Surgery - July 16, 2012 Category: ENT & OMF Authors: W.H. Wang, J. Zhu, M. Li, B. Xia, B. Xu Source Type: research

Extracapsular dissection for benign parotid tumors: A meta‐analysis
Conclusions:This systematic review with meta‐analysis suggests that ECD has a similar recurrence rate as SP with fewer postoperative complications. ECD may be considered an alternative surgical modality for select benign parotid neoplasms. (Source: The Laryngoscope)
Source: The Laryngoscope - July 2, 2012 Category: ENT & OMF Authors: W. Greer Albergotti, Shaun A. Nguyen, Johannes Zenk, M. Boyd Gillespie Tags: Head and Neck Source Type: research

Predicting surgical outcomes in pediatric cervicofacial nontuberculous mycobacterial lymphadenitis.
CONCLUSIONS: We report acceptable but not insignificant rates of marginal mandibular distribution facial nerve injury, poor scarring, wound infection, and recurrence following resection of cervicofacial nontuberculous mycobacterial lymphadenitis in children that must be discussed with patients and parents before operation. No presentation or operative variables predicted the complications. PMID: 22844868 [PubMed - in process] (Source: The Annals of Otology, Rhinology, and Laryngology)
Source: The Annals of Otology, Rhinology, and Laryngology - July 1, 2012 Category: ENT & OMF Authors: Parker NP, Scott AR, Finkelstein M, Tibesar RJ, Lander TA, Rimell FL, Sidman JD Tags: Ann Otol Rhinol Laryngol Source Type: research

Low grade mucoepidermoid carcinoma in a setting of Warthin's tumor.
Abstract Warthin's tumor also known as papillary cystadenoma lymphomatosum is a common benign salivary gland neoplasm that occurs exclusively in parotid gland. Rarely, the tumor can undergo carcinomatous or lymphomatous transformation of epithelial or lymphoid component, respectively. Herein, we describe a case of 55-year-old female who had undergone parotidectomy for a rapidly growing tumor in the right parotid gland. The case was diagnosed as mucoepidermoid carcinoma developed in a setting of Warthin's tumor based on the histomorphology, special staining characters, and immunohistochemical findings. The pathogene...
Source: Indian Journal of Pathology and Microbiology - July 1, 2012 Category: Pathology Authors: Mohapatra M, Satyanarayana S Tags: Indian J Pathol Microbiol Source Type: research

Major salivary gland tumors in children — diagnostic and therapeutic difficulties
Abstract Major salivary gland tumors are very rare in the developmental period. Confirming tumor changes of the salivary gland requires precise diagnostic imaging involving an ultrasonography scan, computed tomography and magnetic resonance. A needle aspiration biopsy (NAB) of a tumor is of high importance. Excision of the tumor is the main treatment method in the case of parotid gland tumors. Statistical data concerning tumors suggest choosing less invasive methods, which seems very logical in children. The operational methods used in the tumor treatment are: extracapsular excision of a tumor, partial parot...
Source: Central European Journal of Medicine - June 27, 2012 Category: Journals (General) Tags: Central European Journal of Medicine Source Type: research

Relationship between histopathology of pleomorphic adenoma in the parotid gland and recurrence after superficial parotidectomy
ConclusionsSatellite nodules and tumor rupture increase the risk of recurrence in patients with pleomorphic adenomas treated by superficial parotidectomy. J. Surg. Oncol © 2012 Wiley Periodicals, Inc. (Source: Journal of Surgical Oncology)
Source: Journal of Surgical Oncology - June 27, 2012 Category: Cancer & Oncology Authors: Gi Cheol Park, Kyung‐Ja Cho, Jun Kang, Jong‐Lyel Roh, Seung‐Ho Choi, Sang Yoon Kim, Soon Yuhl Nam Tags: Research Article Source Type: research

Extra-capsular dissection in benign parotid tumors
Conclusion: ECD may be an effective alternative to parotidectomy for the treatment of benign parotid tumors and generally results in a low rate of recurrences and complications. (Source: Oral Oncology)
Source: Oral Oncology - June 22, 2012 Category: Cancer & Oncology Authors: Luigi Barzan, Marco Pin Tags: Original Articles Source Type: research

Arterio-venous malformation of parotid gland hiding occult adenoid cystic carcinoma in an eight-year-old girl
We report an 8-year-old girl presenting with a parotid gland enlargement since her birth. All clinical and radiological findings indicate a vascular abnormality more likely an arteriovenous malformation. Partial parotidectomy was performed for cosmetic reasons by preserving all branches of facial nerve despite a very bloody operation. The pathology report indicated arteriovenous malformation surrounding adenoid cystic carcinoma with a diameter of 12mm with intact surgical margins. (Source: International Journal of Pediatric Otorhinolaryngology Extra)
Source: International Journal of Pediatric Otorhinolaryngology Extra - June 18, 2012 Category: ENT & OMF Authors: Volkan Güngör, Taner Yılmaz, Sehbal Arslankoz Tags: Case reports Source Type: research

Pediatric parotid tumors: Clinical review of 24 cases in a Chinese population
Conclusions: Although pediatric parotid masses are unusual, they can represent a variety of pathological diagnoses, including malignancy. The intralesional injection can treat parotid hemangiomas in pediatric population effectively. Parotidectomy remains the mainstay treatment for both pediatric parotid gland benign and malignancies of epithelial cell origin. Adjuvant radiotherapy should be used judiciously in pediatric patients due to the higher risk of post-irradiation complications. (Source: International Journal of Pediatric Otorhinolaryngology)
Source: International Journal of Pediatric Otorhinolaryngology - June 8, 2012 Category: ENT & OMF Authors: Bing Liu, Jian-Ying Liu, Wen-Feng Zhang, Jun Jia Tags: Research reports Source Type: research

R3: Invasive salivary duct carcinoma ex pleomorphic adenoma of the parotid gland: a teaching case giving rise to the genuine diagnostic difficulty on an inadequate cytology specimen
A history of a recent rapid increase in long-standing swelling mass was presented in the rightparotid gland of an 85-year-old male. The inadequate cytologic specimens contained fewsmall clusters of three-dimensional malignant epithelial cells having hyperchromaticpleomorphic nuclei and prominent nucleoli, adjacent to a cluster of benign monomorphicmyoepithelial cells. We first interpreted it merely as an adenocarcinoma, not otherwisespecified. A radical parotidectomy was performed, and gross examination revealed anencapsulated and firm tumor lesion, looking grayish-blue to yellowish-white, focallyassociated with extracapsu...
Source: Diagnostic Pathology - May 30, 2012 Category: Pathology Authors: Sohsuke YamadaAtsunori NabeshimaTakahisa TabataXin GuoTakashi TasakiKe-Yong WangShohei ShimajiriYasuyuki Sasaguri Source Type: research