Benign parotid tumors: Surgery and management of perioperative complications Gutartige Parotistumoren: Chirurgie und Management perioperativer Komplikationen

Gehrking M, Mantsopoulos K, Koch M, Müller SK, Sievert M (2025)

Publication Type: Journal article

Publication year: 2025

Journal

Abstract

Tumors of the parotid gland are rare and predominantly benign. The surgical management is challenging due to the close anatomical relationship to the facial nerve. Pleomorphic adenoma and cystadenolymphoma are among the most frequently occurring lesions. The surgical approach depends on the location, size and suspected diagnosis of the lesion. While radical surgical techniques were favored in the past, current practice emphasizes reducing surgical morbidity through less invasive resection methods. In this context, extracapsular dissection offers functional advantages over more extensive resections, with similarly low recurrence rates. Complications such as facial nerve palsy, salivary fistulas and Frey’s syndrome occur less frequently with milder severity and are generally well-treatable, for example, with botulinum toxin. In selected cases, such as confirmed bilateral cystadenolymphoma, a conservative wait-and-scan approach may be considered as an alternative to surgery. The goal remains the complete resection of the lesion with maximum preservation of function.

Authors with CRIS profile

Mika Gehrking Department of Otorhinolaryngology – Head and Neck Surgery (HNO-Klinik) Konstantinos Mantsopoulos Department of Otorhinolaryngology – Head and Neck Surgery (HNO-Klinik) Michael Koch Medizinische Fakultät Sarina Katrin Ursel Müller-Hübner Department of Otorhinolaryngology – Head and Neck Surgery (HNO-Klinik) Matti Sievert Department of Otorhinolaryngology – Head and Neck Surgery (HNO-Klinik)

How to cite

APA:

Gehrking, M., Mantsopoulos, K., Koch, M., Müller, S.K., & Sievert, M. (2025). Benign parotid tumors: Surgery and management of perioperative complications Gutartige Parotistumoren: Chirurgie und Management perioperativer Komplikationen. HNO. https://doi.org/10.1007/s00106-025-01677-2

MLA:

Gehrking, Mika, et al. "Benign parotid tumors: Surgery and management of perioperative complications Gutartige Parotistumoren: Chirurgie und Management perioperativer Komplikationen." HNO (2025).

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