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Parotidectomy in children: indications and complications

Published online by Cambridge University Press:  02 June 2010

C Meiling Xie  and
H Kubba
C Meiling Xie
Affiliation:
Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, Glasgow, Scotland, UK
H Kubba*
Affiliation:
Department of Paediatric Otolaryngology, Royal Hospital for Sick Children, Glasgow, Scotland, UK
*
Address for correspondence: Mr H Kubba, Dept of Paediatric Otolaryngology, Royal Hospital for Sick Children, Yorkhill, Glasgow G3 8SJ, Scotland, UK. Fax: +44 (0)141 2010865 E-mail: hkubba@nhs.net
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Abstract

Background:

Parotidectomy in children is uncommon, and surgeons face specific challenges not encountered in adult practice.

Method:

Retrospective review of parotidectomies performed in our paediatric hospital over a 10-year period (1999–2008).

Results:

Twenty-one children underwent 22 parotidectomies, of which six were total. The following pathology was encountered: atypical mycobacterial infection (8.38 per cent), pleomorphic adenoma (4.19 per cent), lymphatic malformation (2.10 per cent), haemangioma (2 per cent), first branchial cleft anomaly (2 per cent), follicular non-Hodgkin's lymphoma (2 per cent) and lipoblastoma (1.5 per cent). No cases of permanent facial nerve palsy occurred. Mild transient facial nerve palsy occurred in five patients (23 per cent), gustatory sweating in four (19 per cent) and hypertrophic scarring in three (14 per cent).

Conclusion:

We discuss the range of parotid pathology found in children, the approach to investigation, the surgical difficulties encountered, and ways to reduce the apparently higher rate of complications encountered. Parotid surgery in children should be concentrated in the hands of a small number of surgeons with a particular interest in this area.

Keywords

ChildrenPaediatricsParotid LesionsParotidectomyAtypical Mycobacterial InfectionPleomorphic Salivary Adenoma
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 12 , December 2010 , pp. 1289 - 1293
Copyright
Copyright © JLO (1984) Limited 2010

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