A Review of 27 Patients Treated With Parotidectomy at Al-Yarmouk Teaching Hospital

Hayder Sabah Salem Al- Kawaz *
Esan H. Salem *
Shilan Hussein Karim **

* Al-Yarmook Teaching Hospital.
** Department of Anatomy, School of Medicine, University of Sulaimani


A Review of 27 Patients Treated With Parotidectomy at Al-Yarmouk Teaching Hospital


ABSTRACT


Background
Parotid gland tumors are the majority of tumors which arise in the salivary glands. Recommended treatment
for parotid pathologies is surgical excision. Injury of the facial nerve is the most common complication
encountered after parotid surgery.

Objective
Analyzing the clinical presentations, histopathology and complications following parotid surgery.

Methods
Patient’s documents were reviewed for those underwent parotidectomy between September 2006 to June 2012.
Diagnosis and surgical procedure were standardized in all cases. All patients were monitored thoroughly
specially for facial nerve injury and they were followed up for six months.

Results
27 patients underwent Parotidectomy with a mean age of 51 years, with male to female ratio 2.8:1. There
were two false negative (FN) and one false positive (FP) reported cases by fine needle aspiration cytology
(FNAC) with sensitivity of 50% and a specificity of 95.65%. Pleomorphic adenoma was the commonest benign
pathology (55.56%). Postoperative facial nerve injury encountered in (37.04 %). 80% of cases were completely
recovered in 6 months.

Conclusion
FNAC should be performed in all patients but regarded only as a helpful investigation for management. And
the risk of facial nerve palsy is related to the type, size and extend of the tumour and radicality of the resection
done.

Key words: Parotid tumours, fine needle aspiration cytology, facial nerve injury.



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Kewan Omer,
Jan 24, 2015, 12:33 AM