TY - JOUR TT - Diagnosis and Results of Surgical Treatment in Parotid Gland Masses AU - Özbay, Musa AU - Şengül, Engin AU - Topçu, İsmail PY - 2016 DA - June JF - Dicle Medical Journal JO - diclemedj PB - Dicle University WT - DergiPark SN - 1300-2945 SP - 315 EP - 318 VL - 43 IS - 2 KW - Parotis tümörleri KW - histopatoloji KW - cerrahi N2 - Objective: We aimed to evaluate clinical presentations, histopathological diagnosis, surgical treatment modalities and complications of patients operated for a parotid gland mass. Methods: Medical records of 115 patients who operated for a parotid gland mass between 2007 and 2016 years evaluated retrospectively. Results: 65 (56.5%) of these patients were male and 50 (43.5%) were female. The mean age of the patients was 44.97. Tumor was located right sided in 72, left sided in 41 and bilateral in two patients. In 95 patients superficial parotidectomy, in 17 patients total parotidectomy, in two patients enucleation and in one patient radical parotidec­tomy were used as surgical procedure. Histopathological diagnosis was benign in 94 patients, malign in 13 patients and non-neoplastic in 8 patients. For benign tumors the most common histopathology was pleomorphic adeno­ma in 61 (64.8%) patients, and the second was Whartin tumor in 23 (24.4%) patients. The other benign tumors were seen in 11 patients. Adenoid cystic carcinoma was seen the most common malign tumor. In six patients with malign tumors neck dissection was performed simultane­ously with parotidectomy. Complication ratio was 12.2% (14 patient) and facial paresis was the most common complication. Conclusion: Surgery is the treatment of parotid tumors. Superficial parotidectomy is the most used surgical pro­cedure and has low complication rate. Histopathological diagnosis is important for the type of treatment modal­ity. Neck dissection should be added to treatment when necessary. CR - 1. Eveson JW, Cawson RA. Salivary gland tumors. A review of 2410 cases with particular reference to histological types, site age and sex distribution. J Pathology 1985;146:51-58. CR - 2. Spiro RH. Salivary neoplasms: overview of a 35 year experience with 2807 patients. Head Neck Surg 1986;8:177-184. CR - 3. Guintinas-Lichius O, Klussmann JP, Wittekindt C, Stennert E. Parotidectomy for benign parotid disease at a university teaching hospital: outcome of 963 operations. Laryngoscope 2006;116:534-540. CR - 4. Upton DC, McNamar JP, Connor NP, et al. Parotidectomy: ten-year review of 237 cases at a single institution. Otolaryngol Head Neck Surg 2007;136:788-792. CR - 5. Topak M, Çelebi Ş, Develioğlu ON, ve ark. Parotis kitlelerinde tani ve tedavi sonuçlarimiz. Selçuk Tıp Derg 2013;29:64-67. CR - 6. Akın İ, Günen A, Gürzumar A, et al. Parotis tümörlerine tedavi yaklaşımımız. K.B.B. ve Baş Boyun Cerrahisi Dergisi 1994;2:38-42. CR - 7. Byrne MN1, Spector JG. Parotid masses: evaluation, analysis, and current management. Laryngoscope 1988;98:99- 105. CR - 8. Arda HN, Tuncel Ü, İkincioğulları A, Yılmaz YF, Ünal A. Parotis kitleleri ve tedavi yaklaşımımız. K.B.B. ve BBC Dergisi 2002;10:48-51. CR - 9. Ball A, Thomas JM. Malignant Tumours of The Major Salivary Glands. In: Normon JED. Mcgurk (Eds). Salivary Glands Diseases, Disorders And Surgery. Mosby-Wolfe. Barcelona. 1995:173-196. CR - 10. Çuhruk Ç, Saatçi MR, Demireller A, Vural E. Parotis malign tümörleri hakkında gözlemlerimiz ve tedavi prensiplerimiz. Türk Otolarengoloji Arsivi 1995;33:212-222. CR - 11. Hanna EYN, Suen JY. Malignant tumors of the salivary glands. In: Myers EN, Suen JY, Myers JN, Hanna EYN, editors. Cancer of the head and neck. 4th ed. Philadelphia: Saunders. 2003:475-510. CR - 12. Mra Z, Komisar A, Blaugrund M. Functional facial nerve weakness after surgery for benign parotid tumors: a multivariate statistical analysis. Head and Neck 1993;15:147- 152. CR - 13. Rodriguez MA. Benign parotid tumors: a 24-year experience. J Surg Oncol 1991;46:159-161. CR - 14. Satar B, Gerek M, Yetişer S, et al. Major tükrük bezi tümörleri: 93 olgunun analizi. T Klin K B B 2001;1:123-128. UR - https://dergipark.org.tr/en/pub/dicletip/issue//500507 L1 - https://dergipark.org.tr/en/download/article-file/602860 ER -