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Oncological and functional results after the surgical treatment of parotid cancer

Title
Oncological and functional results after the surgical treatment of parotid cancer
Authors
Chung, E. -J.Lee, S. -H.Baek, S. -H.Kwon, K. -H.Chang, Y. -J.Rho, Y. -S.
Ewha Authors
노영수
SCOPUS Author ID
노영수scopus
Issue Date
2015
Journal Title
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
ISSN
0901-5027JCR Link

1399-0020JCR Link
Citation
INTERNATIONAL JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY vol. 44, no. 1, pp. 16 - 22
Keywords
parotid cancersurgeryprognosisfacial paralysis
Publisher
CHURCHILL LIVINGSTONE
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
The objective of this study was to analyze the oncological and functional outcomes after the surgical treatment of parotid cancer. We reviewed 80 primary parotid carcinomas retrospectively. A superficial parotidectomy was performed in 10 patients; 27 patients underwent total parotidectomy and 43 patients underwent radical parotidectonly. A facial facial nerve anastomosis was chosen for the facial nerve reconstruction in eight patients, while an interpositional graft was selected in 24 patients. The overall N-positive rate of pathology was 21.3%. The rate of occult metastasis was 8.1%. High-grade carcinoma and lymphovascular emboli were independent factors for nodal metastasis. The 5-year disease-free survival and overall survival rates were 79.7% and 78.8%, respectively. Preoperative facial nerve palsy and extraparenchymal invasion were the independent factors associated with poor disease-free survival. Of the 41 patients in the facial nerve preservation group, 13 (31.7%) had transient facial nerve paresis. In the facial nerve sacrifice group of 39 cases, (sub)total recovery (House Brackmann grade I/II) occurred in 14 (35.9%), partial recovery (House-Backmann grade III/IV) in 13 (33.3%), and no recovery (House Brackmann grade V) in 12 (30.8%). Facial nerve palsy upon presentation and extraparenchymal invasion indicate a grave prognosis. Facial nerve function after proper reconstruction is tolerable.
DOI
10.1016/j.ijom.2014.06.020
Appears in Collections:
의과대학 > 의학과 > Journal papers
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