Clinical History, Prognostic Factors, and Management of Facial Nerve in Malignant Tumors of the Parotid Gland

Francesco Bussu; Mario Rigante; Veronica Giglia; Giovanni Bastanza; Eugenio De Corso; Giovanni Almadori; Gaetano Paludetti

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자료유형: 학술저널

저자정보: Francesco Bussu Mario Rigante Veronica Giglia Giovanni Bastanza Eugenio De Corso Giovanni Almadori Gaetano Paludetti

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제7권 제2호

발행연도: 2014.1

수록면: 126 - 132 (7page)

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Objectives. We analyzed the outcomes following clinical management of parotid masses that were determined to be malig- nant tumors after parotidectomy. Methods. We evaluated data from 70 patients with parotid malignancies between November 1994 and December 2005. Results. Among salivary histotypes (n=49), the most significant prognostic parameter was cT4 stage at diagnosis (P=0.0055, log-rank) both for clinical involvement of the facial nerve and for invasion of other structures. The main cause of cancer-related death was a distant metastasis. Conclusion. The present series confirms that the main prognostic parameter in salivary parotid malignancies was cT4 clas- sification at diagnosis, often due to clinical involvement of the facial nerve. The oncological outcome of salivary ma- lignancies was influenced by distant metastasis more than most other head and neck sites. We recommend dissecting and preserving the functioning VIIth cranial nerve during surgery for parotid malignancies.

#Parotid malignancies #Parotidectomy #Facial nerve #VII cranial nerve dissection #Clinical prognostic factors

참고문헌 (26)

참고문헌 신청

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