We present a retrospective series of 23 consecutive parotidectomies, over a 10-year period (1989-1999) for 22 @entity1 with @entity7841 unresponsive to conservative measures. There were 10 male and 12 female @entity1 . Mean age was 52 years (range 12-72), and mean duration of symptoms 4.5 years (range 8 months-30 years). All @entity1 had preoperative sialography and 2 had computed tomography to exclude a @entity5 . A complete superficial parotidectomy with preservation of the main duct was done in all cases. Fifteen @entity1 developed temporary facial nerve weakness postoperatively and 7 developed @entity8810 . There were no cases of permanent @entity2103 . Nineteen @entity1 reported complete resolution of their symptoms and 3 @entity1 had mild persisting symptoms that did not necessitate any further treatment. Histologically there was evidence of sialadenosis in one case and @entity75 in another; the others showed evidence of @entity7841 of varying degrees of severity. Fifteen @entity1 had postoperative sialograms, of which 11 showed evidence of some filling of residual parotid gland parenchyma and in 8 @entity1 there was filling of a normal-looking accessory lobe. In this series, superficial parotidectomy with preservation of the main duct was safe and effective, with minimal long-term complications, for most @entity1 with chronic parotid @entity7841 that was unresponsive to conservative measures and, in some @entity1 , it allowed some preservation of function. The potential damage to the facial nerve and the cosmetic problems associated with a total or near-total parotidectomy were avoided.

Clinical and radiological evidence to support superficial parotidectomy as the treatment of choice for chronic parotid XXXX : a retrospective study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity7841 :: ('MESH:D012793', 'Disease') :: ['sialadenitis', 'chronic sialadenitis'] @entity5 :: ('MESH:D009369', 'Disease') :: ['neoplasm'] @entity8810 :: ('MESH:D013547', 'Disease') :: ["Frey's syndrome"] @entity75 :: ('MESH:D001927', 'Disease') :: ['benign lymphoepithelial lesion'] @entity2103 :: ('MESH:D005155', 'Disease') :: ['facial nerve palsy']
@entity7841 :: (MESH:D012793,Disease) :: ['sialadenitis']
