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Deep lobe parotidectomy-why, when, and how?

Authors
  • Olsen, Kerry D1
  • Quer, Miquel2, 3
  • de Bree, Remco4
  • Vander Poorten, Vincent3, 5
  • Rinaldo, Alessandra6
  • Ferlito, Alfio7
  • 1 Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.
  • 2 Department of Otolaryngology, Hospital Santa Creu i Sant Pau, Barcelona, Spain. , (Spain)
  • 3 European Salivary Gland Society, Geneva, Switzerland. , (Switzerland)
  • 4 Department of Head and Neck Surgical Oncology, University Medical Center Utrecht, Utrecht, The Netherlands. , (Netherlands)
  • 5 Otorhinolaryngology-Head and Neck Surgery and Department of Oncology, Section Head and Neck Oncology, University Hospitals Leuven, KU Leuven, Leuven, Belgium. , (Belgium)
  • 6 University of Udine School of Medicine, Udine, Italy. , (Italy)
  • 7 International Head and Neck Scientific Group, Padua, Italy. [email protected] , (Italy)
Type
Published Article
Journal
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Publication Date
Dec 01, 2017
Volume
274
Issue
12
Pages
4073–4078
Identifiers
DOI: 10.1007/s00405-017-4767-5
PMID: 29026985
Source
Medline
Keywords
License
Unknown

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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