Parotidectomy for Parotid Cancer

Otolaryngol Clin North Am. 2016 Apr;49(2):415-24. doi: 10.1016/j.otc.2015.10.007. Epub 2016 Feb 17.


Parotidectomy for parotid cancer includes management of primary salivary cancer, metastatic cancer to lymph nodes, and direct extension from surrounding structures or cutaneous malignancies. Preoperative evaluation should provide surgeons with enough information to plan a sound operation and adequately counsel patients. Facial nerve sacrifice is sometimes required; but in preoperative functioning nerves, function should be preserved. Although nerve involvement predicts poor outcome, survival of around 50% has been reported for primary parotid malignancy. Metastatic cutaneous squamous cell carcinoma is a high-grade aggressive histology whereby local control for palliation with extended parotidectomy can be achieved; however, overall survival remains poor.

Keywords: Accessory parotid gland carcinoma; Facial nerve; Parotid cancer; Parotidectomy.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Carcinoma, Squamous Cell / pathology*
  • Facial Nerve
  • Humans
  • Lymph Nodes / surgery*
  • Lymphatic Metastasis
  • Parotid Gland / surgery*
  • Parotid Neoplasms / pathology
  • Parotid Neoplasms / surgery*
  • Skin Neoplasms / pathology
  • Treatment Outcome