The role of elective superficial parotidectomy in

Authors: Sameep Kadakia Yadranko Ducic Diego Marra Masoud Saman

Publish Date: 2015/12/21

Volume: 20, Issue: 2, Pages: 143-147

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Abstract

Ninetythree patients between ages 27 and 98 with primary squamous cell carcinoma of the temporal region greater than or equal to 2 cm were included in this study Subjects had no evidence of adenopathy or parotid involvement on exam or imaging Patients were treated with local excision and ipsilateral parotidectomy The primary tumor was studied for vascular involvement and perineural invasion while the parotid specimen was analyzed for occult cancer Patients were postoperatively followed for a minimum of three yearsTwentythree 247  parotid samples were found to harbor occult malignancy Of these nine 391  patients had vascular involvement of the primary tumor and 14 608  had perineural invasion Thirteen out of 58 affected males and 10 out of 35 affected females were found to have intraparotid node positivity Vascular involvement p = 00004 and perineural invasion p = 00001 in the primary malignancy were found to be greater in patients with positive specimen Sex was not statistically significant

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