Warthin's tumor surgery: Difference between revisions
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'''Complications of surgery:''' | '''Complications of surgery:''' | ||
* Frey syndrome:<ref name="de Breevan der Waal2007">{{cite journal|last1=de Bree|first1=Remco|last2=van der Waal|first2=Isaäc|last3=Leemans|first3=C. René|title=Management of frey syndrome|journal=Head & Neck|volume=29|issue=8|year=2007|pages=773–778|issn=10433074|doi=10.1002/hed.20568}}</ref> | * Frey syndrome:<ref name="de Breevan der Waal2007">{{cite journal|last1=de Bree|first1=Remco|last2=van der Waal|first2=Isaäc|last3=Leemans|first3=C. René|title=Management of frey syndrome|journal=Head & Neck|volume=29|issue=8|year=2007|pages=773–778|issn=10433074|doi=10.1002/hed.20568}}</ref> | ||
** Frey syndrome is also known | ** Frey syndrome is also known as [[gustatory]] sweating or [[auriculotemporal]] syndrome. | ||
** Include [[flushing]] and sweating over the [[parotid]] region during [[mastication]]. | ** Include [[flushing]] and sweating over the [[parotid]] region during [[mastication]]. | ||
** May occur from 2 weeks to 2 years | ** May occur from 2 weeks to 2 years | ||
Revision as of 18:14, 6 December 2018
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ammu Susheela, M.D. [2]
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Warthin's tumor Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Warthin's tumor surgery On the Web |
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American Roentgen Ray Society Images of Warthin's tumor surgery |
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Risk calculators and risk factors for Warthin's tumor surgery |
Overview
Surgery is the mainstay of treatment for Warthin's tumor.
Surgery
- Surgery is the mainstay of treatment for Warthin's tumor. Recurrence is rare, occurring in 6 - 12% of cases. Warthin's tumor is highly unlikely to become malignant.
- Surgery should be followed by careful observation to watch for changes in the tumor over time.[1] Frey syndrome has been successfully treated with injections of botulinum toxin A.[2]
Complications of surgery:
- Frey syndrome:[3]
- Frey syndrome is also known as gustatory sweating or auriculotemporal syndrome.
- Include flushing and sweating over the parotid region during mastication.
- May occur from 2 weeks to 2 years
- Result from regeneration of cut parasympathetic fibres between otic ganglion and salivery tissue.
- Botulinum toxin A by intracutaneous injections provides successful treatment.
- Bleeding and hematoma
- Numbness in the distribution of great Auricular nerve including ear, face and neck
- Sialocele and salivary fistula occurs in 5% post operative patients.
- Deep lobe and pharyngeal space dissection may result in cramping and spasm in parotid region during swallowing.
- Incidence of facial paralysis is 27-43%
References
- ↑ Gooden E, Witterick IJ, Hacker D, Rosen IB, Freeman JL (2002). "Parotid gland tumours in 255 consecutive patients: Mount Sinai Hospital's quality assurance review". J Otolaryngol. 31 (6): 351–4. PMID 12593546.
- ↑ Salivary gland tumor. Cancer.gov (2016). http://www.cancer.gov/types/head-and-neck/hp/salivary-gland-treatment-pdq Accessed on January 4, 2016
- ↑ de Bree, Remco; van der Waal, Isaäc; Leemans, C. René (2007). "Management of frey syndrome". Head & Neck. 29 (8): 773–778. doi:10.1002/hed.20568. ISSN 1043-3074.