Tratamiento quirúrgico de las neoplasias en la glándula parótida

Juan Carlos Valls Puig; Aníbal Blanco; Eduardo Carmona; Nelsimar   Palacios; Salvador  Tabacco; Francisco   Tabacco

doi:10.37910/RDP.2024.13.1.e383

Authors

Juan Carlos Valls Puig Escuela Luis Razetti. Universidad Central de Venezuela, Venezuela
Aníbal Blanco Hospital Pérez de León 2, Venezuela
Eduardo Carmona Hospital Pérez de León 2, Venezuela
Nelsimar Palacios Universidad Central de Venezuela, Venezuela
Salvador Tabacco Hospital Ortopédico Infantil, Venezuela
Francisco Tabacco Hospital Universitario de Caracas, Venezuela

DOI:

https://doi.org/10.37910/RDP.2024.13.1.e383

Keywords:

Neoplasia, Parótida, Cirugía, Lobectomía

Abstract

Objective: To evaluate the surgical procedure, technique identification of nerve facial and correlate the pathological findings with the preoperative histological sampling studies, in patients with neoplasms parotid underwent surgery. Methods: Study multi-institutional, multi-disciplinary, descriptive y quantitative of 26 patients with neoplasm parotid between the years 2018 to 2023. We divided in two categories benign and malignant. The frequency was expressed in number and percentage. It was calculated the sensibility and specificity of the fine needle puncture. Results: Category benign: 16 patients
(61,5% %). Malignant, ten patients (38,5%). The lobectomy superficial was the surgical procedure more frequent in the neoplasm benign (75%) and malignant (60%). The anterograde technique of identification of nerve facial was the more common. Between 25% and 30% presents facial palsy temporal. The sensibility and specificity of the fine needle puncture were 92,3% y 50%, the percentage of false negatives was 5,8%. Conclusion: In this study the lobectomy superficial and anterograde technique were the surgical procedure and technique of identification of nerve facial more frequent in both
categories. The low specificity of fine needle puncture and the percentage of false negatives were some of the difficulties to affront in the decision of the surgery extent.

Downloads

Download data is not yet available.

References

Salih A, Baba H, Saed Y. Pattern of facial nerve palsy during parotidectomy: a single-center experience. J Int Med Res. 2022; 50 (7): 1-9

Laskaris S, Chrysikos D, KoutrafourisI, Piagkou M. Partial Superficial Parotidectomy Versus Extracapsular Anatomical Dissection for the Treatment of Benign Parotid Tumors. Acta Media Academica 2022;51(2):85-

DOI: https://doi.org/10.5644/ama2006-124.3763. Dedeoglu1 S, Toprak1 S, Ayra M. Retrospective Analysis of 136 Patients operated for a parotid global tumor. Med Arch. 2022; 76(3): 170-174.

Dedeoglu1 S, Toprak1 S, Ayra M. Retrospective Analysis of 136 Patients operated for a parotid global tumor. Med Arch. 2022; 76(3): 170-174.

Nielsen Ch, Sand Ch, Bach A, Mirz F. Superficial Parotidectomy: Impact of Postoperative Drainage. Ear, Nose & Throat Journal. 2022;101(2): 105–109. DOI: https://doi.org/10.1177/0145561320942380

Yu G, Peng X. Conservative and functional surgery in the treatment of salivary gland tumours. International Journal of Oral Science. 2019; 11:22. DOI: https://doi.org/10.1038/s41368-019-0059-9

Vanroosea J, Scheerlinckb J. Clinical outcomes and cost effectiveness of superficial parotidectomy versus extracapsular dissection of the parotid gland. Int. J. Oral Maxillofac. Surg. 2023; 52: 191–198. DOI:https://doi.org/10.1016/j.ijom.2022.05.001

Larian B. Parotidectomy for Benign Parotid Tumors. Otolaryngol Clin N Am 2016; 49: 395-413.

Venkatesh S, Teerthanath S, Hariprasad S. .Parotid Gland Tumors: 2‑Year Prospective Clinicopathological Study. Ann Maxillofac. 2019;9:103-109.

Psychogios G, Bohr C, Constantinidis J, et al. Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors. Eur Arch Otorhinolaryngol. 2021;278:15-29.

Cracchiolo J, Shaha A. Parotidectomy for parotid cancer. Otol Clin N Am 2016; 49: 415-424.

Valls J, Palacios N, Valdivia M. La cirugía de cabeza y cuello, una especialidad emergente. Vitae Academia Biomédica Digital. 2020; 81: (Enero- Marzo).

Suzuki M, Nakaegawa Y, Kobayashi T. Retrograde superficial parotidectomy. Indications for partial superficial parotidectomy for benign parotid gland tumors using the retrograde approach. Fukushima J. Med.Sci. 2020; 66 (2).

Mijares A, Leon A, Suarez C. Complicaciones en las cirugías de las glándulas salivales mayores. Rev Ven Onc. 2020; 32 (2):144-164.

Edmond M, Campbell E, Reddy V. Day case superfcial parotidectomy—does it work?. Eur Arch Oto Rhin Lar. 2021; 278:4107–4112. DOI : https://doi.org/10.1007/s00405-021-06642-7

Robbins T, Samant S, Ronen O. Neck Dissection. En: Flint P, Robbins T, Haughey B, Editores. Cummings, Otolaryngology, Head and Neck Surgery. 6ta edicion. Elsevier Saunders; 2015: 1837-1861.

Valls JC. Incisión cervicofacial de colgajo superior adaptable. Vitae Academia Biomédica Digital. 2017; 72 (Octubre-Diciembre).

Valls J, Lema MC. Historia de las incisiones cervicofaciales en cirugía oncológica. Rev Soc Ven Hist Med.2018; 57.

Montbrun F. El facial parotídeo. Bol Soc Ven Cir. 1967; XXI (95): 573-584.

Valls J. Desarrollo de la cirugía de cabeza y cuello en Venezuela. Gac Med Caracas. 2020; 128(2): 159-178.

Garriga Garcia E, Brito E. Disección de Cuello. Tumores de Cabeza y Cuello. Atlas Fotográfico [Internet]. 2014: 10-94. Disponible en: http://www.tumoresdecabezaycuelloatlas.blogspot.com-,url

Tabacco F, Marín J. Neoplasias de parótida. Trabajo especial de investigación para optar al título de especialista en otorrinolaringología. Caracas: Universidad Central de Venezuela; 2017. Disponible en: http://hdl.handle.net/10872/22254

Valls JC. Alternativas quirúrgicas en cirugía de cabeza y cuello. Rev Fac Med. 2022; 45 (1). Disponible en: http://saber.ucv.ve/ojs/index.php/rev_fmed/issue/view/2439 .

Tholken R, Jering M, Mayer M, Schiele S, Muller G, Zenk J. Prospective study on complications using different techniques for parotidectomy for benign tumors. Laryng Inv Oto. 2021;6:1367–1375.

Sobin LH, Wittekind Ch. In: TNM Classification of malignant tumours. 6th Edition. New York :Wiley. 2002.