Is There A Role for Limited Parotid Resections for Primary Malignant Parotid Tumors?

Miquel Quer*, Kerry D. Olsen, Carl E. Silver, Marc Hamoir, Antti A. Mäkitie, Juan P. Rodrigo, Vincent Vander Poorten, Robert P. Takes, Henrik Hellquist, Jacinto García Lorenzo, Orlando Guntinas-Lichius, Remco de Bree, Carlos Suárez, Luiz P. Kowalski, José G. Vartanian, Alvaro Sanabria, Ashok R. Shaha, Peter Zbären, Alessandra Rinaldo, Alfio Ferlito

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

(1) Background: Lateral or total parotidectomy are the standard surgical treatments for malignant parotid tumors. However, some authors have proposed a more limited procedure. (2) Methods: We performed a review of the literature on this topic. Studies were included that met the following criteria: malignant parotid tumors, information about the extent of surgical resection, treated with less than a complete lateral lobectomy, and information on local control and/or survival. Nine articles fulfilled the inclusion criteria. (3) Results: Eight of the nine series reported favorable results for the more limited approaches. Most used them for small, mobile, low-grade cancers in the lateral parotid lobe. Most authors have used a limited partial lateral lobectomy for a presumed benign lesion. The remaining study analyzed pediatric patients treated with enucleation with poor local control. (4) Conclusions: There is weak evidence for recommending less extensive procedures than a lateral parotid lobectomy. In the unique case of a partial lateral parotidectomy performed for a tumor initially thought to be benign but pathologically proved to be malignant, close follow-up can be recommended for low grade T1 that has been excised with free margins and does not have adverse prognostic factors.

Original languageEnglish
Pages (from-to)2-9
JournalSurgeries (Switzerland)
Volume1
Issue number1
DOIs
Publication statusPublished - 15 Jun 2020

Keywords

  • parotid malignancy
  • parotid surgery
  • parotid tumors
  • partial parotid surgery
  • primary malignant parotid tumors

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