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Evaluation of Lateral Temporal Bone Resection in Locally Advanced Tumours of the Parotid Gland

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

This study evaluated the effects of lateral temporal bone resection (LTBR) on local tumour control in patients with locally advanced parotid gland tumours. The medical records of seven patients treated with radical parotidectomy combined with LTBR for locally advanced primary parotid tumour at the Otolaryngology Department of Dokuz Eylul University between January 1995 and December 2016 were retrospectively evaluated. Demographic variables, tumour characteristics, treatment properties, postoperative complications, follow-up durations and local, regional and distant recurrences were analysed. Before referral to our clinic, four patients had de novo primary parotid tumours, and three patients had a recurrence of primary parotid tumours. The histopathologic diagnoses were squamous cell carcinoma in two patients, and adenosquamous carcinoma, malignant myoepithelial carcinoma, adenocarcinoma, adenoid cystic carcinoma and spindle cell sarcoma in the other patients. During the follow-up period, one patient died due to postoperative pulmonary embolism in the first month, and four patients died due to distant metastasis without local or regional recurrences. LTBR combined with radical parotidectomy in locally advanced primary malignant parotid gland tumours is a feasible surgical technique for local tumour control. However, the most common cause of death in these cases is distant metastases, despite appropriate resection.

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There is not any funding organisations to be disclosed for the present study.

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Author notes

  1. Mustafa Aslıer

    Present address: Sancaktepe Şehit Prof. Dr. İlhan Varank Education and Research Hospital, Emek Mahallesi, Namık Kemal Cad., Sancaktepe, 34785, İstanbul, Turkey

Authors and Affiliations

  1. Department of Otorhinolaryngology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey

    Mustafa Aslıer, Ersoy Doğan, Ahmet Ömer İkiz & Enis Alpin Güneri

  2. Department of Pathology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey

    Sülen Sarıoğlu

  3. Department of Radiation Oncology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey

    Fadime Akman

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  1. Mustafa Aslıer
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  2. Ersoy Doğan
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  3. Ahmet Ömer İkiz
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Correspondence to Mustafa Aslıer.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Aslıer, M., Doğan, E., İkiz, A.Ö. et al. Evaluation of Lateral Temporal Bone Resection in Locally Advanced Tumours of the Parotid Gland. Indian J Otolaryngol Head Neck Surg 71 (Suppl 2), 1402–1407 (2019). https://doi.org/10.1007/s12070-018-1483-4

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  • DOI: https://doi.org/10.1007/s12070-018-1483-4

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