İsa ÖZBAY, MUHAMMET FATİH TOPUZ, Cüneyt KUCUR, FATİH OĞHAN, Aykut CEYHAN, Hüseyin METİNEREN

Parotis bezi tümörü nedeniyle ameliyat edilen olgularımızın retrospektif analizi

Amaç: Parotis bezi tümörleri, tüm baş boyun tümörlerinin yaklaşık % 2-3' ünü oluşturmaktadır ve % 80-85' i benign natürdedir. Bu çalışmamızda, parotis kitlesi ile kliniğimize başvuran olguları retrospektif olarak inceleyerek; uygulanan cerrahi tedavileri, histopatolojik sonuçları, görülme oranlarını ve cerrahi sonrası komplikasyonları değerlendirmeyi amaçladık. Gereç ve Yöntem: Ocak 2013 ile Ocak 2019 tarihleri arasında, kliniğimize parotis kitlesi ile başvuran hastalar çalışmaya dahil edildi. Hastalar; cinsiyet, operasyon yöntemi, histopatolojik sonuçları ve post-operatif komplikasyonları açısından retrospektif olarak incelendi. Bulgular: 75 hastanın 52’ si erkek, 23’ si kadındı. Yaş ortalaması 49,7 (min:23 max:94 σ:5.083) olarak tespit edildi. Cerrahi tedavi sonrası histopatoloji sonuçlarına göre olguların 62’ si benign (% 82,5), 13’ i habis (% 17,5) idi. Selim tümör olarak en sık pleomorfik adenom (33 olgu) saptandı. İkinci en sık selim tümör olarak ise Whartin tümörü olduğu görüldü (27 olgu). Cerrahi yöntem olarak 67 hastaya yüzeyel parotidektomi, 8 hastaya total parotidektomi uygulandı. İki olguda geçici fasiyal parezi, bir olguda tümör invazyonundan dolayı fasiyal sinirin rezeke edilmesine bağlı kalıcı fasiyal paralizi, bir hastada fasiyel sinirin bukkal dalından kaynaklanan sellüler schwannoma nedeniyle kalıcı parsiyel fasiyal paralizi, iki olguda ise post-operatif hematom izlendi. Sonuç: Parotis tümörlerinin tedavisi genel olarak cerrahidir. Histopatolojik tanı, tümörün evresi ve derecesi önemlidir. Gerektiğinde boyun diseksiyonu uygulanmalıdır.

Objective: Parotid gland tumors constitute about 2-3 % of all head and neck tumors and 80-85 % of them are benign compressions. In this study, we aimed to review the cases which were admitted to our clinic with parotid mass, retrospectively. We evaluated histopathological results of surgical treatment and incidence of postoperative complications. Material and Methods: Patients who were admitted to our clinic with parotid masses between January 2013 and January 2019 were included in the study. Patients were reviewed retrospectively in terms of age, sex, method of operation, histopathological results and postoperative complications. Results: 75 patients were composed of 52 males and 23 females. The average age was found as 49.7 (min:23 max:94 σ:5.083). According to their histopathology results, 62 of the patients was benign (82.5 %), and 13 of them was malignant (17.5 %). The most common benign tumor was pleomorphic adenoma (33 cases). The second most common solid tumor was Whartin tumor (27 cases). As a surgical technique, 67 patients underwent superficial parotidectomy, and only 8 patients underwent total parotidectomy. Transient facial paresis was seen in 2 cases, permanent facial paresis was seen in one patient due to resection of the nerve which was invaded by the tumor and permanent partial facial paralysis due to cellular schwannoma arising from the buccal branch of the facial nerve in one patient. Postoperative hematoma was observed just in one case. Conclusion: Generally, treatment for parotid tumor is surgery. Histopathological diagnosis, stage and grade of the tumors are important. Neck dissection should be performed if necessary.

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