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PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES. PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES. 75% Benign tumors. 85% Pleomorphic adenoma . 70%. Aut h or : Usiljanin Jelena. co-auth or : Živorad Nikolić. 2-4%. APPROACH. INTRODUCTION.
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PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES 75% Benign tumors 85% Pleomorphic adenoma 70% Author : Usiljanin Jelena co-author: Živorad Nikolić 2-4%
APPROACH INTRODUCTION PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES Excision 1802 Bertrandi SIZE ? Up to 25 mm LOCALIZATION ? Superficial and under line tragus-mandibular angle Marti 2000, Iwai 2005 et al.
INTRODUCTION APPROACH PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES Parotidectomy 1892 Codreanu Graham 1999, Snow 2001, Langdon 2001,Bova 2004 et al.
AIM PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES Evaluation of recurrence rates, concerning two surgical methods of removal of benign tumors of the parotid gland
MATERIALS AND METHODS PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES 53 patients – tumor excision Statistical process of collected data
RESULTS PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES 153 160 AGE
RESULTS PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES Tumor size <20mm 20-30mm >30mm ∑ 64 102 147 313 NUMBER
RESULTS PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES 53
RESULTS PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES 18x 12 -24 months
RESULTS PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES RECURRENCE Excision Parotidectomy 20,7%: 1,9% • 1,2%: 1,7 % Statistic difference p<0,01 χ2 test Gleave 1995,McGurk 1996,Hancock 1999.
CONCLUSION PAROTIDECTOMY VS EXCISION COMPARISON OF RECURRENCE RATES There is no doubt of a proven correlation between the frequency of recurrence and the chosen method of treatment Higher percentage of relapse in patients with the tumor excision Excision is not an adequate therapeutic method except in certain indications
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