Volume : 6, Issue : 6, June - 2017

A CLINICOPATHOLOGICAL STUDY AND MANAGEMENT OF SALIVARY GLAND SWELLINGS - ORIGINAL ARTICLE

Dr. Boni. Tatarao, Dr. Akkidas. Suvarchala

Abstract :

<p>&nbsp;<b><span style="font-size:11.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,serif;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;mso-ansi-language:EN-US;mso-fareast-language:&#10;EN-US;mso-bidi-language:AR-SA">INTRODUCTION: </span></b><span style="font-size:&#10;11.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,serif;mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;color:#2A2A2A;mso-ansi-language:EN-US;mso-fareast-language:&#10;EN-US;mso-bidi-language:AR-SA">Neoplasms that arise in the salivary glands are relatively rare yet they represent a wide variety of both benign and malignant histologic subtypes. Although researchers have learned much from the study of this diverse group of tumors over the years the diagnosis and treatment of salivary gland neoplasms remain complex and challenging problems for the head and neck surgeons. AIMS: </span><span style="font-size:11.0pt;line-height:107%;&#10;font-family:&quot;Times New Roman&quot;,serif;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SA">To study the&nbsp; incidence, etiology, clinical features,pathology, investigations, diagnosis, treatment, complications and prognosis of parotid tumors. 2.To study the different management stategies for salivary gland swellings MATERIALS AND METHODS:<b>^{<span style="color:#2A2A2A">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>}</b>This is a prospective study of 30 cases of salivary gland swellings and different clinicopathological presentations and management strategies are analysed and studied from 2014-2016.&nbsp; RESULTS: The benign tumors involved more on Left parotid. Malignant tumors are equal in both side .The peak age is between 40 and 50 years. The average age for benign tumors is 40 years. Whereas for malignant tumors it is 55 years. The youngest patient age is 18 years and eldest age is 75 years. There is an increased incidence in males as compared to females. Both benign and malignant tumors are common in males. Pleomorphic adenoma is the commonest salivary gland neoplasm constituting about 68% of total tumors and 95% of benign tumors. Mucoepidermoid carcinoma is the commonest malignancy constituting 14% of total tumors and 62% of malignant salivary tumors. One case of Haemangioma was recorded, constituting about 5% of total benign neoplasms. Commonest presenting symptom was asymptomatic swelling. The shortest duration of presentation was 6 months and longest duration was 5 years in this study. The patients with- malignant tumors presented with pain in 30% of the cases, facial nerve palsy in 25% of cases involvement of regional lymphnodes in 20%.&nbsp; Surgery is the main modality of treatment in this study. Radiotherapy was given to malignant tumors in 1 case postoperatively and 2 cases were subjected for radiotherapy alone. Temporary facial nerve palsy occurred as a postoperative complication in 12 cases (63%) out of 19 operated on parotid for benign tumors. The nerve function improved completely in all cases within a period of 6 months of follow up. Permanent facial nerve palsy recorded in one patient operated for malignancy in parotid. CONCLUSION: With the use of Bipolar cautery nerve damaged is minimized. The chance of nerve injury is highest in recurrent surgery. First time surgery is the best chance to cure the disease&nbsp; to avoid further complications.&nbsp;</span></p>