Extra capsular dissection role and advantages in surgical treatment of parotid pleomorphic adenoma

Abstract

This article determine and examine the roles, advantage and efficacy of extra capsular dissection (ECD) for surgical management of the pleomorphic adenomas in the parotid gland ,the study done on 12 patient with average age 35 ,its different from " classical " surgical technique to the parotid tumor (superfacial parotidectomy ) because facial nerve dissection is not done. A total of 12 patients with the mean follow up to 60 +\- 4 months ,7 male and 5 female average age was 35 years. The type of surgery performed was Extra capsular dissection (ECD) through extra oral approach by pre auricular incision under general anesthesia. ECD may be considered the treatment of choice because No significant transient nerve injury and or facial palsy, no recurrence. Local recurrence were not observed for all group of our patients, capsular rupture occur in one case ,salivary fistula was measured in the same case and the most important is immediately post operative examination no facial nerve palsy and or weakness.