PAROTID TUMOR OPERATIONS—The Case Against Enucleation

So-called mixed “encapsulated” parotid tumors are best managed by surgical procedures which avoid contact with the “capsule.” Enucleation is often a hazardous and incomplete procedure. Subtotal or total parotidectomy with exposure of the facial nerve to avert accidental damage to it is the treatment...

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Bibliographic Details
Published in:California medicine 1956-07, Vol.85 (1), p.26-29
Main Author: PERZIK, S L
Format: Article
Language:English
Subjects:
Adenoma, Pleomorphic
Affect
Facial Nerve
Humans
Neoplasm Recurrence, Local
Neoplasms
Old Medline
Parotid Gland
Parotid Neoplasms
Salivary Gland Neoplasms
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Summary:So-called mixed “encapsulated” parotid tumors are best managed by surgical procedures which avoid contact with the “capsule.” Enucleation is often a hazardous and incomplete procedure. Subtotal or total parotidectomy with exposure of the facial nerve to avert accidental damage to it is the treatment of choice. Microscopic study of the periphery of such tumors reveals that the “capsule” does not fully encapsulate; hence, enucleation and lesser procedures may leave neoplastic tissue behind. Surgical procedures to achieve complete excision without endangering the facial nerve were carried out in 123 cases. There was local recurrence in one case. Images
ISSN:0008-1264
2380-9949