Parotidectomies and Neck Dissections

The organization of the following study reflects, in general, the steps of a review article in parotidectomies and neck dissections. Part one contains the nature of the parotidectomies case study report. Part two contains the Neck dissection techniques analysis which are 1. Radical (RND) 2. Modified Radical (MRND) 3. Supraomohyoid, Parotid gland surgery complications and Neck dissection complications. Parotidectomies glad tumors can be primary or metastatic. They can affect the superficial or the deep lobe or the whole parotid glad. Superficial or total parotidectomie is a challenging operation due to the presence that must always restored. The parotidectomie operation can be combined with neck dissection depending on the status of the survical nodes. Materials and Methods: In this study, a retrospective review of 136 patients in a 31 years period from 1982 to 2013 where operated for parotid glad tumors. The primary tumors where 57 and the metastatic tumors 79. The secondary metastatic tumors are 58 squamous cell carcinomas (SCC’s), 8 basal cell carcinomas (BCC’s), 2 mixed (baso-squamous cell) carcinomas, 9 cutaneous melanomas, one lentigo malignant melanomas and one adnexal skin carcinoma. Seventy nine parotidectomies (due to metastatic tumors) were performed, 53 superficial and 26 total, 24 combined with neck dissection and 55 without. We combined 24 neck dissection with the parotidectomies. Results: With a minimum of 6 year follow up we had: 4 cases of hypersalivation (sialorrhea), 1 case of temporary total paresis of the facial nerve, 1 paralytic ectropion, 2 partial flap necrosis. The parotidectomie operation is a demanding surgery that offers good results from oncological and functional point of view in well selected patients.