Abstract
Deep lobe parotidectomy is an important management approach for highgrade primary parotid cancers that metastasize to the deep lobe nodes and for cancers that metastasizes to the deep parotid from a site outside the parotid. This paper reviews the rationale for deep lobe parotidectomy with facial nerve preservation for these parotid cancers. Deep lobe parotid involvement was reviewed in 27 patients. Twelve patients had primary parotid tumors that metastasized to the deep lobe, and 15 had tumors outside the parotid that metastasized to deep parotid nodes. Deep lobe parotidectomy should be considered in patients with a highgrade primary parotid tumor, a cancer that metastasizes to a superficial intraparotid node, or a primary parotid malignancy that metastasizes to a superficial parotid node or a neck node.
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References
Gates GA, Johns ME (1980) Embryology and anatomy of the salivary glands. In: Paparella MM, Shumrick DA (eds) Otolaryngology. Saunders, Philadelphia, pp 124–131
Garatea-Crelgo J, Gay-Escoda C, Bermejo B, Buenechea-Imaz R (1993) Morphological study of the parotid lymph nodes. J Cranio-Maxillo-Facial Surg 21:207–209
Pisani P, Ramponi A, Pia F (1996) The deep parotid lymph nodes: an anatomical and oncological study. J Laryngol Oncol 110:148–150
Olsen SM, Moore EJ, Koch CA, Kasperbauer JL, Olsen KD (2011) Oral cavity and oropharynx squamous cell carcinoma with metastasis to the parotid lymph nodes. Oral Oncol 47:142–144
Olsen KD (1996) Parotid deep lateral lobectomy with nerve sparing. Lippincott, Philadelphia
O’Brien CJ, McNeil EB, McMahon JD et al (2002) Significance of clinical stage, extent of surgery, and pathologic findings in metastatic cutaneous squamous carcinoma of the parotid gland. Head Neck 24:417–422
Thom JJ, Starkman SJ, Moore EJ, Price DL, Olsen KD (2012) Parotidectomy for metastatic cutaneous squamous cell carcinoma and malignant melanoma. In: 8th International conference on head and neck cancer (AHNS), Toronto, Canada
Boahene DK, Olsen KD, Lewis JE et al (2004) Mucoepidermoid carcinoma of the parotid gland: the Mayo clinic experience. Arch Otolaryngol Head Neck Surg 130:849–856
Gaughan RK, Olsen KD, Lewis JE (1992) Primary squamous cell carcinoma of the parotid gland. Arch Otolaryngol Head Neck Surg 118:798–801
Olsen KD, Lewis JE (2001) Carcinoma ex pleomorphic adenoma: a clinicopathologic review. Head Neck 23:705–712
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Neither author has any financial conflict of interests. This study was not funded by any outside sources.
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Olsen, K.D., Moore, E.J. Deep lobe parotidectomy: clinical rationale in the management of primary and metastatic cancer. Eur Arch Otorhinolaryngol 271, 1181–1185 (2014). https://doi.org/10.1007/s00405-013-2616-8
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DOI: https://doi.org/10.1007/s00405-013-2616-8