PLEOMORPHIC ADENOMA PAROTID GLAND: OUT COME OF SUPERFICIAL PAROTIDECTOMY

Background: Eighty percent of parotid gland tumors are benign and occur in the lower part of the gland. The recurrence
rate of pleomorphic adenoma removed by superficial parotidectomy reported in literature is 2%. The objective of the
present study is to present the out-come of superficial parotidectomy in the management of pleomorphic adenoma
arising from superficial lobe of parotid gland in terms of recurrence and complications.
Material & Methods: This descriptive study was carried out from June 2007 to December 2012 at departments of ENT
B Unit Hayat Abad Medical Complex, Peshawar and Mufti Mehmood Memorial Teaching Hospital Dera Ismail Khan. All
confirmed cases of pleomorphic adenoma arising from superficial lobe of parotid gland of either sex and of any age
were included in the study. Superficial parotidectomy was done in all patients for excision of pleomorphic adenoma.
Data collected included patient’s age, gender, and history of previous surgery, recurrence of the disease and complications
of the surgery. Statistical analysis was done using SPSS version 17.
Results: Out of 32 pleomorphic adenoma patients, 19(68%) were female and 13 (32%) male. Mean age of the patients
was 15.13±14.59 years. Recurrence rate after the superficial parotidectomy was 2 (6.25%). Temporary facial palsy was
observed in 3 (09.35%) patients. In 2 (06.25%) cases disease reoccurred within 6 months after removal.
Conclusion: Recurrence of pleomorphic adenomas arising from superficial lobe of parotid gland remains low when
the superficial parotidectomy procedure is employed.
Key words: Salivary gland tumors, Pleomorphic adenomas, Superficial parotidectomy