Presentation and Outcome of Management of Parotid Tumors: A Local Experience from Two Sudanese States
Abstract
Parotid tumors are rare but good amount of knowledge is required to preserve the facial nerve during superficial or deep parotidectomy. This is a study of 49 patients who presented with parotid tumors in the last 12 year with a mean age of 44 yrs. Parotid lump was the main symptom in all patients, while facial nerve palsy was the presenting symptom in only 4.1%. In this study 69.3% of patients underwent superficial parotidectomy while 30.6% had total parotidectomy. Transient facial nerve palsy occurred in 22.4% while permanent damage occurred in (8.1%) of patients. Pleomorphic adenoma represented 91.8% of benign tumors while mucoepidermoid tumors represented 41.6% of malignant tumors making them the two most common pathological diagnoses. Recurrence occurred in only 3 patients
References
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2. Zbaren P, Schar C, Hotz MA, et al. Value of fine-needle aspiration cytology of parotid gland masses. Laryngoscope. 2001;111:1989–92.
3. Sergi B, Contucci AM, Corina L, et al. Value of fine-needle aspiration cytology of parotid gland masses. Laryngoscope. 2004;114: 789.
4. Contucci AM, Corina L, Sergi B, et al. Correlation between fine needle aspiration biopsy and histologic findings in parotid masses. Personal experience. Acta Otorhinolaryngol Ital. 2003;23:314–18
5. PM, McGarry G, Shaw-Dunn J, et al. The precision of four commonly used surgical landmarks for locating the facial nerve in anterograde parotidectomy in humans. Ann Anat. 2010;192: 27–32.
6. Redaelli de Zinis LO, Piccioni M, Antonelli AR, et al. Management and prognostic factors of recurrent pleomorphic adenoma of the parotid gland: personal experience and review of the literature. Eur Arch Otorhinolaryngol. 2008;265:447–452.
7. Heller KS, Attie JN, et al. Treatment of Warthin's tumor by enucleation. Am J Surg. 1988;156: 294–296
8. Speight PM, Barrett AW: Salivary gland tumors. Oral Dis 8 (5): 229-40, 2002.
9. Mendenhall WM, Werning JW, Pfister DG: Treatment of head and neck cancer. In: DeVita VT Jr, Lawrence TS, Rosenberg SA: Cancer: Principles and Practice of Oncology. 9th ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 2011, pp 729-80.
10. Gooden E, Witterick IJ, Hacker D, et al: Parotid gland tumors in 255 consecutive patients: Mount Sinai Hospital's quality assurance review. J Otolaryngol 31 (6): 351-4, 2002.
11. Guzzo M, Andreola S, Sirizzotti G, et al: Mucoepidermoid carcinoma of the salivary glands: clinicopathologic review of 108 patients treated at the National Cancer Institute of Milan. Ann Surg Oncol 9 (7): 688-95, 2002.
12. O'Brien CJ. Current management of benign parotid tumors--the role of limited superficial parotidectomy. Head Neck 2003; 25:946.
13. Helmus C. Subtotal parotidectomy: a 10-year review (1985 to 1994). Laryngoscope 1997; 107:1024.
14. Stennert E, Wittekindt C, Klussmann JP, et al. Recurrent pleomorphic adenoma of the parotid gland: a prospective histopathological and immunohistochemical study. Laryngoscope 2004; 114:158.
15. Leverstein H, van der Wal JE, Tiwari RM, et al. Surgical management of 246 previously untreated pleomorphic adenomas of the parotid gland. Br J Surg 1997; 84:399.
16. Wennmo C, Spandow O, Emgård P, Krouthén B. Pleomorphic adenomas of the parotid gland: superficial parotidectomy or limited excision? J Laryngol Otol 1988; 102:603.
17. Guntinas-Lichius O, Klussmann JP, Schroeder U, et al. Primary parotid malignoma surgery in patients with normal preoperative facial nerve function: outcome and long-term postoperative facial nerve function. Laryngoscope 2004; 114:949.
18. Sullivan MJ, Breslin K, McClatchey KD, et al. Malignant parotid gland tumors: a retrospective study. Otolaryngol Head Neck Surg 1987; 97:529.
19. Bendet E, Talim YP, Kronenburg J. Preoperative electroneurography (ENoG) in parotid surgery. Head Neck 1998; 20: 124-31.
20. Levan P, De Cerverlier, Revol M, Servant JM. Lipoma of the superficial lobe of the parotid gland: A case report. Ann Chir Plast Esthet 1997; 42: 313-7.
21. Watkin GT, Mc Lean JK, Hobsley M. Lymphoma presenting as lump in the parotid region. Br J Surg 1984; 71: 701-2.
22. Abulhassan M, Sharif MS. Pattern and clinical presentation of Hodgkin’s disease in Radioactive and Isotope Centre of Khartoum (RICK). 1989 (Thesis).page 44.
23. Christensen N R et al. Benign neoplasm in the parotid gland in the county of Copenhagen 1985-1996. Underskirt Leager 1998; 160: 6066-9.
24. Patel N, Poole A. Recurrent benign parotid tumor: the lesson not learnt yet? Aus N Z J Surg 1998; 68: 568-74.
25. Watkin G T, Hobsley M. Should radiotherapy be used routinely in the management of benign parotid tumor? Br J Surg 1986; 73: 601-3.
26. Magnano M, et al. Therapeutic strategies for treatment of parotid gland malignancies. Aeta Otolaryngol Ital 1998; 18: 164-71.
27. Takaichi N, Hirose F, Yamamato H. Salivary gland tumors in atomic bomb survivors, Hiroshima. Japan Cancer 1976; 38: 2462-8.
28. Leverstein H. et al. Malignant epithelial parotid gland tumor: analysis and result in 65 previously untreated patients. Br J Surg 1998; 85: 1267-72
Published
2015-06-01
How to Cite
E E SALAH, Sami; E MOHAMMED, Sami Galal-eldin; ELMUSHLY, Rehab.
Presentation and Outcome of Management of Parotid Tumors: A Local Experience from Two Sudanese States.
Gezira Journal of Health Sciences, [S.l.], v. 11, n. 1, june 2015.
ISSN 1810-5386. Available at: <http://37.60.236.48/index.php/gjhs/article/view/386>. Date accessed: 03 june 2026.
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