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Management Of The Lıpomas Arısıng From Deep Lobe Of The Parotıd GlandUyar Y., Ünaldı D., Ülkü Ç.Objectives: We would like to present our experience in management of lipomas arising in the deep lobe of the parotid gland, which were diagnosed and operated in our clinic from the point of complication/morbidity, and recurrence, in line with the literature. Material and Methods: Five patients with lipoma found in the deep lobe of the parotid gland, diagnosed and treated at our clinic in the twelve year period between March 1992 and March 2004, were included in this study. Limits of the tumors were determined by computed tomography, and/or magnetic resonance imaging. Preoperative fine needle aspiration biopsy was also performed. Through a classic parotidectomy incision, the parotid gland was exposed. Full exposure of the facial nerve and its branches were performed. The removel of deep lobe parotid lipomas were achieved by enucleation in all cases. Postoperative complication/morbidity, and recurrence were evaluated. Results: The most common symptom was an otherwise asymptomatic mass on the parotid region and/or upper lateral neck. One of 5 patients was presented with medial displacement of the lateral pharyngeal wall, and tonsil as the additional physical finding. Preoperative radiologic evaluation results revealed that CT and/or MRI scans accurately localized 100 % of the tumors in relation to the deep lobe of the parotid gland. FNAB did not enable us to make a diagnosis of lipoma in 4 of the cases. Total resection was achieved in all cases. Temporary facial nerve paralysis, due to the dissection of the facial nevre, did not occur in any cases. There was no recurrence of the tumors after a mean follow-up of 60 months. Conclusion:Assesment of the exact location of the tumor is an important consideration for selection of the appropriate surgical approach. Different from lipomas found in other locations, those observed in the parotid gland can not be easily resected.
Türk Otorinolarengoloji XXVIII.Ulusal Kongresi Özetleri S13
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