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conferenceseries
.com
Volume 7, Issue 4 (Suppl)
Otolaryngology
ISSN: 2161-119X Otolaryngology, an open access journal
Aesthetic Medicine & ENT Conference 2017
July 06-08, 2017
July 06-08, 2017 Kuala Lumpur, Malaysia
International Conference on
Aesthetic Medicine and ENT
Presentation and surgical management of parotid masses at a tertiary care hospital
Muhammad Sohail
Aga Khan University, Pakistan
Objective:
The objective is to analyze the clinical presentation, histopathology, complications and outcomes of parotidectomy.
Material & Methods:
Retrospective chart review of 193 patients was performed who underwent parotidectomy from January
2005 to December 2015 at the Aga Khan University Hospital, Karachi. Data collected included age, gender, comorbid, signs
and symptom, perioperative facial nerve function, details of surgery, FNA, histopathology and complications.
Results:
Out of 193 patients undergoing parotidectomy, 110 (57%) were males and 83 (43%) were females, mean age being
48.21 and 43.76 years respectively. Mean duration of symptoms was 41.33 months and most common symptom was pre-
auricular swelling present in all patients followed by pain present in 29 patients (15%) and facial nerve weakness in 6 patients
(3.1%). FNAC was performed preoperatively and results were compared with final histopathology. 158 patients (81.86%)
underwent superficial parotidectomy while 35 patients (18.14%) underwent total parotidectomy. The final histological
diagnosis showed benign lesion in 147 (76.2%) patients and 46 patients (23.8%) had malignant lesions. 23 (11.9%) patients
had transient nerve paralysis while 11 (5.7%) had complete facial nerve paralysis after surgery and majority of them were seen
after total parotidectomy. Six (3.1%) patients developed post-operative hematoma and 2 (1%) developed Frey’s syndrome. 33
(71.73%) patients were sent for adjuvant radiation therapy out of 46 patients with malignancy and 9 (19.6%) patients with
malignancy developed recurrence.
Conclusion:
Parotidectomies are performed for almost all parotid masses and are usually associated with good postoperative
outcomes. Malignancies of the parotid are rare with most of the masses benign in nature. FNA can prove to be a valuable tool
for preoperative counseling of the nature of the disease and prognosis. With modern day procedures facial nerve can be saved
in most of the surgical interventions.
Biography
Awan did his MBBS from Nishtar Medical College in 1990. He did his residency training at Pakistan Institute of Medical Sciences, Islamabad and Aga Khan
University Hospital, Karachi and got his post graduate degree (FCPS) from College of Physicians and Surgeons, Pakistan in Otolaryngology and Head and Neck
Surgery in 1998. He got his further training in the field of Otology (Ear diseases and surgery) from Wurzberg University, Germany and Portmann Institute, France.
Dr. Awan has special interest in Cochlear Implant surgery and started a CI program at AKU in 2005 first of its kind in the country. Dr. Awan has keen interest
in research activities and has 50+ national and international publications to his credit. Currently Dr. Awan is working as Associate Professor and Consultant
Otolaryngologist at AKUH, he is head of ENT department and also leading the Cochlear Implant Program at Aga Khan University.
sohail.awan@aku.eduMuhammad Sohail, Otolaryngology 2017, 7:4 (Suppl)
DOI: 10.4172/2161-119X-C1-019