engleski

Accessory parotid gland tumours: 24 years of clinical experience

Accessory parotid gland is salivary tissue that is anterior and anatomically separate from the main body of the parotid gland. We report on 6 patients having accessory parotid gland tumours with emphasis on diagnosis, clinical features, indications and rationales for different treatment approaches. Patients with primary tumours of the parotid gland or accessory parotid gland tumours that underwent surgical treatment were included. Accessory parotid gland tumours comprised 1, 23% of overall parotid tumours (6/488) and had a malignancy rate of 33.3% (2/6). There were three males and three females with mean age of 39 (range, 14-70). A total of 5 of 6 parotidectomies entailed superficial lobectomy, while one was total parotidectomy with composite resection of masseter muscle. Concomitant selective lymphadenectomy was carried out in 3 of 6 patients. From oncosurgical, cosmetic and functional standpoint, treatment by facelift parotidectomy with concomitant superficial lobectomy is recommended surgical approach, while high-grade malignancies require total parotidectomy with regional lymphadenectomy.

accessory parotid gland tumours; mid-cheek mass; parotidectomy; facial nerve; neck dissection

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