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TREATMENT OF MIXED TUMORS OF THE PAROTID GLAND BY SUBTOTAL PAROTIDECTOMY

TREATMENT OF MIXED TUMORS OF THE PAROTID GLAND BY SUBTOTAL PAROTIDECTOMY Abstract SURGICAL operation on the parotid gland is most often performed to remove a mixed tumor. The major technical problem involved is related to the proximity of the gland to the facial nerve. The major oncologic problem is the correlation of the histologic picture of the tumor with the ultimate prognosis. This paper will be limited to the technical problems involved in the treatment except when a technic may influence the possibility of subsequent recurrence. The surgical procedure described is not original but is not as well known as is desirable. DEFINITION OF SUBTOTAL PAROTIDECTOMY Total removal of a gland implies that each cell of that organ has been removed. Anatomically, the parotid gland has several prolongations which make total removal difficult. The anatomy of these areas has been best described by Bailey1 and by McCormack and others.2 The parotid gland has extensions (1) along the anterior-inferior wall of References 1. Bailey, H.: Treatment of Tumors of Parotid Gland with Special Reference to Total Parotidectomy , Brit. J. Surg. 28:337, 1941Crossref 2. Parotidectomy: Indications and Results , Brit. M. J. 1:404, 1947.Crossref 3. McCormack, L. J.; Cauldwell, E. W., and Anson, B. J.: The Surgical Anatomy of the Facial Nerve, with Special Reference to the Parotid Gland , Surg., Gynec. & Obst. 80:620, 1945. 4. McWhorter, G. L.: The Relations of the Superficial and Deep Lobes of the Parotid Gland to the Ducts and to the Facial Nerve , Anat. Rec. 12:149, 1917. 5. Janes, R. M.: Surgical Treatment of Tumors of Salivary Glands , S. Clin. North America 23:1429, 1943. 6. Sistrunk, W. E.: Tumor of Parotid Gland , S. Clin. North America 1:1515, 1921. 7. Adson, A. W., and Ott, W. O.: Preservation of Facial Nerve in Radical Treatment of Parotid Tumors , Arch. Surg. 6:739 ( (May) ) 1923. 8. Marshall, S. F., and Miles, G. O.: Tumors of Submaxillary and Parotid Gland Areas , S. Clin. North America 501:515, 1947. 9. Homans, J.: A Textbook of Surgery , Springfield, Ill., Charles C Thomas, Publisher, 1945, p. 599. 10. Gray, H.: Anatomy of the Human Body , edited by Warren H. Lewis, ed. 24, Philadelphia, Lea & Febiger, 1942, p. 920. 11. Blady, J. V., and Hocker, A. F.: Sialography: Its Technique and Application in Roentgen Study of Neoplasms of Parotid Gland , Surg., Gynec. & Obst. 67:777, 1938. 12. Sistrunk, W. E.: Mixed Tumors of Parotid Gland: Operative Treatment, in Collected Papers of the Mayo Clinic , Philadelphia, W. B. Saunders Company, 1921, vol. 13, p. 861. 13. Wood, F. C.: Mixed Tumors of Salivary Glands , Ann. Surg. 39:57 and 207, 1904. 14. Stein, I., and Geschickter, C. F.: Tumors of Parotid Gland , Arch. Surg. 28:492 ( (March) ) 1934. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

TREATMENT OF MIXED TUMORS OF THE PAROTID GLAND BY SUBTOTAL PAROTIDECTOMY

KLOPP, CALVIN T.; WINSHIP, THEODORE
Archives of Surgery , Volume 61 (3) – Sep 1, 1950
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References (16)

Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1950.01250020482008
Publisher site
See Article on Publisher Site

Abstract

Abstract SURGICAL operation on the parotid gland is most often performed to remove a mixed tumor. The major technical problem involved is related to the proximity of the gland to the facial nerve. The major oncologic problem is the correlation of the histologic picture of the tumor with the ultimate prognosis. This paper will be limited to the technical problems involved in the treatment except when a technic may influence the possibility of subsequent recurrence. The surgical procedure described is not original but is not as well known as is desirable. DEFINITION OF SUBTOTAL PAROTIDECTOMY Total removal of a gland implies that each cell of that organ has been removed. Anatomically, the parotid gland has several prolongations which make total removal difficult. The anatomy of these areas has been best described by Bailey1 and by McCormack and others.2 The parotid gland has extensions (1) along the anterior-inferior wall of References 1. Bailey, H.: Treatment of Tumors of Parotid Gland with Special Reference to Total Parotidectomy , Brit. J. Surg. 28:337, 1941Crossref 2. Parotidectomy: Indications and Results , Brit. M. J. 1:404, 1947.Crossref 3. McCormack, L. J.; Cauldwell, E. W., and Anson, B. J.: The Surgical Anatomy of the Facial Nerve, with Special Reference to the Parotid Gland , Surg., Gynec. & Obst. 80:620, 1945. 4. McWhorter, G. L.: The Relations of the Superficial and Deep Lobes of the Parotid Gland to the Ducts and to the Facial Nerve , Anat. Rec. 12:149, 1917. 5. Janes, R. M.: Surgical Treatment of Tumors of Salivary Glands , S. Clin. North America 23:1429, 1943. 6. Sistrunk, W. E.: Tumor of Parotid Gland , S. Clin. North America 1:1515, 1921. 7. Adson, A. W., and Ott, W. O.: Preservation of Facial Nerve in Radical Treatment of Parotid Tumors , Arch. Surg. 6:739 ( (May) ) 1923. 8. Marshall, S. F., and Miles, G. O.: Tumors of Submaxillary and Parotid Gland Areas , S. Clin. North America 501:515, 1947. 9. Homans, J.: A Textbook of Surgery , Springfield, Ill., Charles C Thomas, Publisher, 1945, p. 599. 10. Gray, H.: Anatomy of the Human Body , edited by Warren H. Lewis, ed. 24, Philadelphia, Lea & Febiger, 1942, p. 920. 11. Blady, J. V., and Hocker, A. F.: Sialography: Its Technique and Application in Roentgen Study of Neoplasms of Parotid Gland , Surg., Gynec. & Obst. 67:777, 1938. 12. Sistrunk, W. E.: Mixed Tumors of Parotid Gland: Operative Treatment, in Collected Papers of the Mayo Clinic , Philadelphia, W. B. Saunders Company, 1921, vol. 13, p. 861. 13. Wood, F. C.: Mixed Tumors of Salivary Glands , Ann. Surg. 39:57 and 207, 1904. 14. Stein, I., and Geschickter, C. F.: Tumors of Parotid Gland , Arch. Surg. 28:492 ( (March) ) 1934.

Journal

Archives of Surgery – American Medical Association

Published: Sep 1, 1950

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