Pediatric parotid masses

Laura J. Orvidas, Jan Kasperbauer, Jean E. Lewis, Kerry D. Olsen, Timothy G. Lesnick

Research output: Contribution to journalArticle

95 Citations (Scopus)

Abstract

Objective: To evaluate the incidence, types, and treatment outcomes of pediatric parotid lesions. Design: Retrospective case review, histological tissue review, and literature review. Setting: Tertiary care center. Patients: All patients aged 18 years and younger with parotid masses evaluated and treated at the Mayo Clinic, Rochester, Minn, from January 1, 1970, to December 31, 1997. Results: Parotid masses were identified in 118 children (60 boys and 58 girls). At diagnosis, the ages of patients were from birth through 18 years, and 72 (61.0%) were aged 10 years and older. An asymptomatic mass was the most common presentation. Forty-three patients (36.4%) had infectious or inflammatory lesions, 56 (47.5%) had benign lesions, and 19 (16.1%) had malignant lesions. The most common benign lesions were pleomorphic adenoma (22.9%)and hemangioma (10.2%). The most common malignant lesions were mucoepidermoid carcinoma (6.8%) and acinic cell carcinoma (3.4%). The most common treatment was total parotidectomy (40.7%). Surgical complications included temporary facial nerve weakness in 22 (18.6%) patients, permanent facial weakness in 11 (9.3%), and permanent paralysis in 2 (1.7%). Pleomorphic adenoma recurred in 4 (14.8%) of 28 patients and mucoepidermoid carcinoma in 3 (37.5%) of 8 patients. One patient with adenoid cystic carcinoma died of the tumor. Conclusions: Although pediatric parotid masses are unusual, they can represent a variety of pathological diagnoses, including malignancy. We advocate prompt evaluation and treatment of these masses and suggest guidelines for their management, based on diagnosis.

Original languageEnglish (US)
Pages (from-to)177-184
Number of pages8
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume126
Issue number2
DOIs
StatePublished - Jan 1 2000

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Pediatrics
Mucoepidermoid Carcinoma
Pleomorphic Adenoma
Acinar Cell Carcinoma
Adenoid Cystic Carcinoma
Facial Nerve
Hemangioma
Tertiary Care Centers
Paralysis
Neoplasms
Parturition
Guidelines
Incidence
Therapeutics

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Orvidas, L. J., Kasperbauer, J., Lewis, J. E., Olsen, K. D., & Lesnick, T. G. (2000). Pediatric parotid masses. Archives of Otolaryngology - Head and Neck Surgery, 126(2), 177-184. https://doi.org/10.1001/archotol.126.2.177

Pediatric parotid masses. / Orvidas, Laura J.; Kasperbauer, Jan; Lewis, Jean E.; Olsen, Kerry D.; Lesnick, Timothy G.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 126, No. 2, 01.01.2000, p. 177-184.

Research output: Contribution to journalArticle

Orvidas, LJ, Kasperbauer, J, Lewis, JE, Olsen, KD & Lesnick, TG 2000, 'Pediatric parotid masses', Archives of Otolaryngology - Head and Neck Surgery, vol. 126, no. 2, pp. 177-184. https://doi.org/10.1001/archotol.126.2.177
Orvidas, Laura J. ; Kasperbauer, Jan ; Lewis, Jean E. ; Olsen, Kerry D. ; Lesnick, Timothy G. / Pediatric parotid masses. In: Archives of Otolaryngology - Head and Neck Surgery. 2000 ; Vol. 126, No. 2. pp. 177-184.
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