Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-28T03:57:51.110Z Has data issue: false hasContentIssue false
  • English
  • Français

Superficial parotidectomy for chronic parotid sialadenitis: a case series and review of the literature

Published online by Cambridge University Press:  06 August 2021

A Goomany  and
S Sood
A Goomany*
Affiliation:
Department of Otolaryngology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
S Sood
Affiliation:
Department of Otolaryngology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
*
Author for correspondence: Mr Anand Goomany, Department of Otolaryngology, Bradford Teaching Hospitals NHS Foundation Trust, Duckworth Lane, BradfordBD9 6RJ, UK E-mail: anandg@doctors.org.uk
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

To report the clinical outcomes of patients with chronic parotid sialadenitis treated with superficial parotidectomy, and to review the literature.

Methods

A retrospective case series was conducted of all patients undergoing parotidectomy for chronic parotid sialadenitis at our institution between 2009 and 2018.

Results

Eighteen superficial parotidectomies were performed, resulting in complete symptom resolution in 17 patients. There was only one recurrence, of a milder form of the disease, requiring no specific treatment. Eight temporary post-operative facial nerve palsies and one permanent palsy occurred. Further complications included post-operative wound haematoma, seroma, Frey's syndrome, neuropathic pain and wound infection.

Conclusion

Superficial parotidectomy is sufficient to control patient symptoms, avoiding the increased morbidity associated with near-total parotidectomy. The literature does not point to a clear difference in either the incidence of recurrence or the risk of a facial nerve palsy between the two procedures. Furthermore, the symptoms attributed to recurrence are often not severe enough to warrant salvage near-total parotidectomy.

Keywords

ParotidectomySialadenitisSalivary Gland DiseasesFacial Nerve DisordersFacial ParalysisInflammation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 10 , October 2021 , pp. 883 - 886
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr A Goomany takes responsibility for the integrity of the content of the paper

Presented orally at the ENT Scotland and the North of England Otolaryngology Society Joint Meeting, 9–10 May 2019, Edinburgh, Scotland, UK.

References

Harbison, JM, Liess, BD, Templer, JW, Zitsch, RP, Wieberg, JA. Chronic parotitis: a challenging disease entity. Ear Nose Throat J 2011;90:E13–16CrossRefGoogle ScholarPubMed
Bhatty, MA, Piggot, TA, Soames, JV, McLean, NR. Chronic non-specific sialadenitis. Br J Plast Surg 1998;51:517–21CrossRefGoogle Scholar
Moody, AB, Avery, CM, Walsh, S, Sneddon, K, Langdon, JD. Surgical management of chronic parotid disease. Br J Oral Maxillofac Surg 2000;38:620–2CrossRefGoogle ScholarPubMed
Watkin, GT, Hobsley, M. Natural history of patients with recurrent parotitis and punctate sialectasis. Br J Surg 1986;73:745–8CrossRefGoogle ScholarPubMed
Morgan, WR. Parotid duct ligation and tympanic neurectomy. In chronic recurrent parotiditis. Arch Otolaryngol 1973;98:179–82CrossRefGoogle ScholarPubMed
Nichols, RD. Surgical treatment of chronic suppurative parotitis. A critical review. Laryngoscope 1977;87:2066–81CrossRefGoogle ScholarPubMed
Bates, D, O'Brien, CJ, Tikaram, K, Painter, DM. Parotid and submandibular sialadenitis treated by salivary gland excision. Aust N Z J Surg 1998;68:120–4CrossRefGoogle ScholarPubMed
Amin, MA, Bailey, BM, Patel, SR. Clinical and radiological evidence to support superficial parotidectomy as the treatment of choice for chronic parotid sialadenitis: a retrospective study. Br J Oral Maxillofac Surg 2001;39:348–52CrossRefGoogle ScholarPubMed
Patel, RS, Low, TH, Gao, K, O'Brien, CJ. Clinical outcome after surgery for 75 patients with parotid sialadenitis. Laryngoscope 2007;117:644–7CrossRefGoogle ScholarPubMed
Sharma, R. Superficial parotidectomy for chronic parotid sialadenitis. Int J Oral Maxillofac Surg 2013;42:129–32CrossRefGoogle ScholarPubMed
Nouraei, SA, Ismail, Y, McLean, NR, Thomson, PJ, Milner, RH, Welch, AR. Surgical treatment of chronic parotid sialadenitis. J Laryngol Otol 2007;121:880–4CrossRefGoogle ScholarPubMed
Van der Lans, R, Lohuis, P, van Gorp, J, Quak, J. Surgical treatment of chronic parotitis. Int Arch Otorhinolaryngol 2019;23:83–7Google ScholarPubMed
Arriaga, MA, Myers, EN. The surgical management of chronic parotitis. Laryngoscope 1990;100:1270–5CrossRefGoogle ScholarPubMed
Beahrs, OH, Devine, KD, Woolner, LB. Parotidectomy in the treatment of chronic sialadenitis. Am J Surg 1961;102:760–4CrossRefGoogle ScholarPubMed
Casterline, PF, Jaques, DA. The surgical management of recurrent parotitis. Surg Gynecol Obstet 1978;146:419–22Google ScholarPubMed
Linkov, G, Morris, L, Shah, J, Kraus, . First bite syndrome: incidence, risk factors, treatment, and outcomes. Laryngoscope 2012;122:1773–8CrossRefGoogle Scholar