Contemporary diagnosis and management of XXXX .

@entity1 @entity32 @entity5 @entity2688 @entity2103 @entity158 @entity4724
OBJECTIVE: Determine if the pathophysiology of @entity4724 , clinical presentation, cytology, and frozen section analysis signal an opportunity for less invasive parotid surgery and reduced morbidity. STUDY DESIGN: Retrospective review of 120 @entity1 parotidectomies identified 50 consecutive @entity4724 . SETTING: Single surgeon, single institutional study. SUBJECTS AND METHODS: Surgeon performed ultrasound guided Fine Needle Aspiration (FNA) and intra-operative frozen section with nerve integrity monitoring were used in all cases. Partial superficial parotidectomy was performed in the initial 25 @entity1 and extracapsular dissection in the subsequent 25 @entity1 . RESULTs: Smoking history was acknowledged in 45/50 (90 percent) of @entity1 . The mean age was 63. Lower @entity158 and @entity2688 occurred 23/50 (46 percent) and 11/50 (22 percent), respectively. @entity5 in the lower parotid pole occurred in 48/50 (96 percent). Frozen section diagnosis for @entity4724 was confirmed by final pathology in all 50/50 (100 percent) @entity1 . Two of 50 @entity1 (8 percent) in the partial superficial parotidectomy group and no @entity1 in the extracapsular dissection group had transient @entity2103 (p > 0.05). CONCLUSIONS: @entity4724 presents with a high rate of symptomatic @entity32 , overwhelmingly in the lower parotid pole. Cytology largely excludes @entity5 . Frozen section analysis diagnosing @entity4724 is highly specific in predicting final diagnosis. Minimally invasive approaches can be performed with confidence with extracapsular dissection or partial superficial parotidectomy resulting in potentially reduced morbidity.
