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260 Salivary Gland Diseases in Children and Adolescents
Table 39.2: Evidence-based research.
Title Tumours of the salivary glands in children and adolescents
Authors Ellis M, Schaffranietz F, Arglebe C, Lawskawi R
Institution Department of Otorhinolaryngology, Head and Neck Surgery,
Universitats-HNO-Klinic, Germany
Reference Int J Oral Maxillofac Surg 2006; 64:1048–1058
Problem To examine the outcome and side effects of therapy and
recurrence of 52 salivary gland tumours in juveniles and
adolescents.
Intervention Surgical procedures.
Outcome/ Forty benign and 12 malignant tumours underwent various
effect surgical procedures.
For the benign tumours, 20 cases (50%) were
parotidectomies; 2 (5%) of these with facial nerve graft,
14 (35%) had lateral parotidectomies, 2 (5%) had subtotal
parotidectomies, 3 (7.5%) had submandibulectomies, and 1
(2.5%) had enucleation.
For the malignant tumours, 11 (91.75%) had total or radical
parotidectomies; 4 (33.3%) had total parotidectomies with
excision of facial nerve and facial nerve grafting with the
Figure 39.9: Rhabomyosarcoma in a 15-year-old girl.
greater auricular nerve; 5 (41.7%) had radical parotidectomy
with facial nerve and adjacent structures (ascending ramus,
temporomandibular joint, zygomatic bone, and mastoid); 2
(22.2%) had parotidectomies with neck dissection; and 1
(11.1%) had superficial parotidectomy.
Historical This report of 52 cases of salivary gland tumours demonstrates
significance/ the various types of salivary gland tumours in the parotid
comments region, provides a useful practice guide, and attests to the
rarity of these tumours in the paediatric population. Irrespective
of the type of tumour, surgery is the preferred mode of
treatment. However, the postoperative complications of the
parotidectomy procedure should be noted.
The authors recommend a multidisciplinary approach
involving the paediatrician, the surgeon, the radiotherapist,
and the oncologist.
The findings of this report have important implications for
the African setting in that primary surgery is most effective
and the surgeons and paediatricians are readily available,
whereas the radiotherapists and oncologists are not.
Furthermore, in the African setting, microscopic surgery for
nerve grafting is still elusive.

Figure 39.10: Neurofibroma involving the parotid gland in a 16-year-old girl.

Figure 39.11: CT scan of neurofibroma pushing the airway in a 16-year-old girl.