Bulletin of Stomatology and Maxillofacial Surgery
ISSN 1829-006X
2025; 223–226
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EXTRACAPSULAR DISSECTION OF THE PAROTID GLAND VERSUS SUPERFICIAL PAROTIDECTOMY FOR BENIGN TUMORS MANAGEMENT

Anas Abed*, Ahmed Hasan

University of Anbar · Azadi Teaching Hospital, Health Directory, Ministry of Health, Kirkuk

Received: 2026-04-08 · Published: 2025-10-03

© 2025 The Author(s) and the original publisher.

CC BY-NC 4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Original title
EXTRACAPSULAR DISSECTION OF THE PAROTID GLAND VERSUS SUPERFICIAL PAROTIDECTOMY FOR BENIGN TUMORS MANAGEMENT
Authors
Anas Abed, Ahmed Hasan
Source journal
Bulletin of Stomatology and Maxillofacial Surgery
Published
2025-10-03
Licence
Creative Commons Attribution-NonCommercial 4.0 International
Original
https://doi.org/10.58240/1829006X-2025.21.9-223

Abstract

Background: Superficial parotidectomy can result in significant complications as facial paralysis. This study aimed to analyze the outcome of extracapsular dissection of benign parotid tumors in terms of recurrence and morbidity in comparison with superficial parotidectomy. Materials and methods: The sample for this study consisted of 20 patients with benign parotid tumors, 10 of them were treated by extracapsular dissection and followed up for about ten years postoperatively and 10 patients with similar pathology who are treated by superficial parotidectomy in Azadi teaching hospital in Kirkuk. All the 20 subjects aged 30-60 years-old and had different benign parotid tumors but the vast majority of these tumors were pleomorphic adenomas. The definitive diagnosis was made by histopathologic examination. Post-operative follow up depended on the clinical (and radiological examinations in some cases). Results: the present study data showed that the extracapsular dissection has very less postoperative complications as permanent and temporary paralysis of facial nerve, salivary fistula, sialocele, Frey’s syndrome, and cosmetic defect with hollowing of the facial contour behind the mandible in comparison with superficial parotidectomy and no recurrence discovered over 10 years of follow-up provided that meticulous dissection around the tumor capsule is undertaken without disruption of the tumor’s capsule and excising tumor including a normal cuff of salivary tissue surrounding the tumor. Conclusions: extracapsular dissection is a good substitute for superficial parotidectomy in case of benign tumors.
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