Zabiegi rekonstrukcyjne w wielkich guzach gruczołów ślinowych

Journal Title: Otolaryngologia Polska - Year 2013, Vol 67, Issue 1

Abstract

Objective: Evaluation the outcome after extensive surgery of salivary glands tumors with simultaneous reconstruction of soft tissue and skin defect. Material: In the period 2007– 2011, surgery treatments performed in 295 of major salivary glands. 31 patients underwent surgery due to malignant parotid gland tumors: 19 women (61%) and 12 men (39%). In 8 (26%) presented skin infiltration. 10 (32%) patients had facial palsy between II-IV degree (House Brackmann scale). The radiographic findings in some patients showed infiltration of the deep lobe of parotid gland, external auditory canal, infiltration of mastoid process, skull base and the subtemporal fossa. Methods: Of the 31 patients in 13 (42%) reconstruction techniques with muscle cutaneous trapezius flap were applied in 4 (31%) patients. In group of 7 (54%) patients using a muscle flap based on the sterno-cleido-gland, in 2 (15%) patients defects were covered using the free anterior lateral thigh flap. Results: In all patients, healing proceeded normally. In the operated patients, one patient did not receive radical surgery due to the infiltration of the skull base. Length of hospitalization ranged between 7–21 days. In no case was lost flap, also there was no local complications at the donor. Conclusions: The choice of treatment for malignant parotid gland tumors which are usually radioresistant is surgical resection. In patients with extensive tumors with infiltration of neighbouring organs reconstruction with use of distant flaps are recommended. It provides a good oncological and aesthetic result.

Authors and Affiliations

Maciej Pabiszczak, Jacek Banaszewski, Małgorzata Wierzbicka, Joanna Jackowska, Elżbieta Waśniewska, Witold Szyfter

Keywords

Related Articles

Badanie USG w diagnostyce przedoperacyjnej nowotworów ślinianek przyusznych

Nowotwory gruczołów ślinowych stanowią jedynie 3% nowotworów rejonu głowy i szyi występujących u człowieka, ale ze względu na bogactwo form histologicznych, w jakich występują, stanowią duże wyzwanie diagnostyczne. Podst...

Endoscopic management of osteomas of the paranasal sinuses – own experience

Osteomas are relatively common, benign, slow-growing, often asymptomatic neoplasms of the paranasal sinuses, occurring mainly in frontal and ethmoid sinuses. Surgical removal is done if they extend beyond the boundaries...

Leiomyosarcoma — a very rare malignant neoplasm of the nasopharynx

SUMMARY Malignant nasopharygeal neoplasms are relatively rare. Anaplastic naso-pharyngeal carcinoma is the most common and the most malignant one. In this paper, we present a case of 56-year old patient with high-grade l...

The significance of Karol Gilewski (1832–1871) for the Polish laryngology

The professional and scientific activities of Karol Gilewski (1832-1871), one of the famous Cracovian physicians, the professor of the Jagellonian University are described first of all. His treatise on laryngofissure and...

Download PDF file
  • EP ID EP52143
  • DOI -
  • Views 115
  • Downloads 0

How To Cite

Maciej Pabiszczak, Jacek Banaszewski, Małgorzata Wierzbicka, Joanna Jackowska, Elżbieta Waśniewska, Witold Szyfter (2013). Zabiegi rekonstrukcyjne w wielkich guzach gruczołów ślinowych. Otolaryngologia Polska, 67(1), 40-44. https://www.europub.co.uk/articles/-A-52143