On occasion, the salivary gland surgeon is faced with clinical management questions related to the treatment of parotid gland tumors. Some of these are intraoperative and include margin of resection, management of the facial nerve when tumor abuts its branches, judicious use of lymphadenectomy, and the appropriateness of nerve grafting. Other questions concern postoperative care-such as the use...

We appreciated Dr. Komisar’s comments that support the use of extracapsular dissection (ECD) for selected benign tumors of the parotid gland. We especially agree with his observation that the surgery can be performed with the greatest safety by experienced salivary surgeons with the use of magnification and facial nerve monitoring. The authors would like to point out that the article is a criti...

BACKGROUND The purpose of this study was to evaluate our experience in the diagnostic approach to inflamed benign tumors of the parotid gland at a single tertiary center. METHODS A retrospective evaluation was carried out for all patients with signs of inflammation in the parotid gland on the ground of a benign parotid tumor, as confirmed by permanent histology. RESULTS Sixteen patients wer...

UNLABELLED Parotid gland parenchyma histology may be altered by local or systemic, pathological or nonpathological conditions. OBJECTIVE This paper aims to highlight the fatty degeneration of the parotid gland, a not well-known non-pathological condition. METHOD In a retrospective study, we collected a series of 6 patients which presented a swelling of the parotid, but even after extensive ...

A 56-year-old man presented to the outpatient clinic of a tertiary referral center with a painless mass in the left midcheek region. The patient reported that the mass appeared two years earlier with gradually increasing size. He had visited a general surgeon 14 months earlier and an open biopsy of the neoplasm had been performed. In the medical report, the histopathological diagnosis of a glom...

Computed tomographic (CT) appearances of 18 surgically proven parotid tumors were studied. Digital radiography (GE, ScoutView) was performed to select the desired gantry angulations and then plain CT and CT combined with sialography were performed. Plain CT clearly showed parotid tumors in nine of the patients. CT combined with sialography was more helpful than plain CT for delineating the tumo...

Patients often present to family physicians complaining of swellings or “knots” in their neck. Many represent benign lymphadenopathy. However, especially in smokers and the elderly, this may be the initial presentation of life-threatening disease. We present a case of a worrisome neck mass in an older ex-smoker that proved to be a benign Warthin tumor. Although this is the second most common be...

Coexistence of parotid tuberculosis along with a benign parotid tumor is a rare entity with only nine cases reported in the literature. We report here a case of primary parotid tuberculosis with concurrent pleomorphic adenoma in a 51-year-old female.