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Deep lobe parotidectomy—why, when, and how?

Authors
  • Olsen, Kerry D.1
  • Quer, Miquel2, 3
  • de Bree, Remco4
  • Vander Poorten, Vincent3, 5
  • Rinaldo, Alessandra6
  • Ferlito, Alfio7
  • 1 Mayo Clinic, Department of Otorhinolaryngology, Rochester, MN, USA , Rochester (United States)
  • 2 Hospital Santa Creu i Sant Pau, Department of Otolaryngology, Barcelona, Spain , Barcelona (Spain)
  • 3 European Salivary Gland Society, Geneva, Switzerland , Geneva (Switzerland)
  • 4 University Medical Center Utrecht, Department of Head and Neck Surgical Oncology, Utrecht, The Netherlands , Utrecht (Netherlands)
  • 5 University Hospitals Leuven, KU Leuven, Otorhinolaryngology-Head and Neck Surgery and Department of Oncology, Section Head and Neck Oncology, Leuven, Belgium , Leuven (Belgium)
  • 6 University of Udine School of Medicine, Udine, Italy , Udine (Italy)
  • 7 International Head and Neck Scientific Group, Padua, Italy , Padua (Italy)
Type
Published Article
Journal
European Archives of Oto-Rhino-Laryngology
Publisher
Springer Berlin Heidelberg
Publication Date
Oct 12, 2017
Volume
274
Issue
12
Pages
4073–4078
Identifiers
DOI: 10.1007/s00405-017-4767-5
Source
Springer Nature
Keywords
License
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Abstract

This editorial explores the controversies concerning the surgical management of the deep portion of the parotid gland. Specifically, when should the parotid deep lobe be removed if there is metastatic cancer to a superficial parotid node or when a primary aggressive cancer is found in the superficial lobe? The background, indications, rationale, and results of removing the deep lobe nodes are reviewed. Removal of the deep lobe is done to optimize the oncologic outcome for the patient. Deep lobe parotidectomy plays an important role in the treatment of many parotid gland malignancies.

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