Abstract
to evaluate the most incident histological subtypes and the main postoperative complications in elderly patients with parotid tumors submitted to parotidectomy. we conducted a retrospective study with 57 elderly patients submitted to parotidectomy from 2003 to 2017, at the São José County Hospital of Joinville, Santa Catarina, Brazil. thirty-three (57.9%) patients had benign tumors, the most frequent being Warthin's tumor, and 17 (29.8%), malignant tumors, squamous cell carcinoma being the most frequent. Seven patients (12.3%) presented clinical complications, arterial pressure instability and respiratory complications being the most frequent, in four (7%) and three (5.3%) cases, respectively. Thirteen (22.1%) patients presented complications related to the surgical wound, hematoma and wound infection being the most frequent, with six (10.5%) cases each. Twenty-four (42.1%) patients had some degree of facial nerve dysfunction in the postoperative period, Brackman-House grade III being the most frequent, in 11 cases (19.3%). Surgical time and lymphadenectomy were associated with clinical complications. The main variables that showed an association with surgical complications were tumor size, longer surgical time, reoperation, and perioperative crystalloid infusion volume. parotid neoplasms present a differentiated profile in the elderly population, especially Warthin's tumor and squamous cell carcinoma. Hematoma and infection of the operative wound and facial nerve lesions were the most prevalent complications in the postoperative period.
Highlights
About 80% to 85% of salivary gland tumors occur in the parotid, corresponding to approximately 3% to 7% of all head and neck neoplasms
The elderly population -aged 60 and overis growing and Brazil will be the sixth country with the largest elderly population in the world by 2025, according to the World Health Organization[4]
The objective of this study was to evaluate the histological subtypes of parotid tumors most incident in this age group, as well as the main complications in the postoperative period in elderly patients submitted to parotidectomy
Summary
About 80% to 85% of salivary gland tumors occur in the parotid, corresponding to approximately 3% to 7% of all head and neck neoplasms. About 25% of them are malignant[1] and surgery is the main form of treatment[1,2,3]. An increasing number of elderly people will need surgical treatment, with a direct impact on the health system expenses. Old age has physiological peculiarities that, associated with comorbidities, represent a challenge for surgical decision-making, as well as for postoperative management. The objective of this study was to evaluate the histological subtypes of parotid tumors most incident in this age group, as well as the main complications in the postoperative period in elderly patients submitted to parotidectomy
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