[en] [en] OBJECTIVES: To describe our experience in the management of vascular malformations of the parotid area.
MATERIALS AND METHODS: This was a retrospective study. Among 614 parotidectomy performed between 1998 and 2008 at our institution, 10 cases (1.6%) of vascular malformations have been identified. Clinical features and management of these patients were analyzed.
RESULTS: Clinical presentation was usually related to that of a benign, slow-growing and asymptomatic tumor. There was a marked female predominance (90%). In any case, the diagnosis of vascular malformation could be obtained with certainty preoperatively. Surgical excision was performed most often referred to diagnosis. Sixty percent of vascular malformations were located in the superficial lobe of the parotid gland. On the histological we found a classic look with benign vascular proliferation of endothelial cells in the walls. The vessel lumen was either the head of a congestion or thrombosis or calcification (phleboliths).
CONCLUSION: Vascular malformations of the parotid gland, rare disease, are mainly venous. The terminology is based on clinical data, scalable, histological and hemodynamic as classified by the International Society of Study of Vascular Anomaly (ISSVA). Despite advances in imaging including MRI they remain difficult to diagnose. The treatment of reference is surgical excision.
Disciplines :
Otolaryngology
Author, co-author :
Achache, M; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 264, rue Saint-Pierre, 13385 Marseille cedex 05, France
Fakhry, N; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Varoquaux, A; Service d'Imagerie Médicale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Coulibaly, B; Service d'Anatomopathologie, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Michel, J; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Lagier, Aude ; Centre Hospitalier Universitaire de Liège - CHU > > Service d'ORL, d'audiophonologie et de chir. cervico-faciale ; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Antonini, F; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Turner, F; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Dessi, P; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Giovanni, A; Service ORL et Chirurgie Cervico-Faciale, CHU de la Timone, AP-HM, 13385 Marseille Cedex 05, France
Language :
English
Title :
Management of vascular malformations of the parotid area.
Publication date :
April 2013
Journal title :
European Annals of Otorhinolaryngology, Head and Neck Diseases
Herbreteau D, Robier A, Disant F. Hémangiomes et malformations vasculaires superficielles de la tête et du cou. Pathologie vasculaire en ORL. Rapport de la Société française d'ORL et de chirurgie de la face et du cou 2000:405-25.
O. Coulet, M. Tomasi, and M. Gal Venous malformations of the parotid in adults. Report of two cases and review of the literature Ann Otolaryngol Chir Cervicofac 119 6 2002 356 362
J.V. Scarcella, E.R. Dykes, and R. Anderson Hemangioma of the parotid gland Plast Reconstr Surg 36 1965 38 47
J.G. Batsakis, J.A. Regezi, and D. Bloch The pathology of head and neck tumors: salivary glands Head Neck Surg 1 3 1979 260 273
O.H. Beahrs, L.B. Woolner, and S.W. Carveth Surgical management of parotid lesions. Review of seven hundred sixty cases Arch Surg 80 1960 890 904
L.T. Byars, L.V. Ackerman, and E. Peacock Tumors of salivary gland origin in children: a clinical pathologic appraisal of 24 cases Ann Surg 146 1 1957 40 51
P. Brouillard, and M. Vikkula Genetic causes of vascular malformations Hum Mol Genet 16 2 2007 R140 R149 [Epub 2007 Jul 31]
J.E. Scott Haemangiomata in skeletal muscle Br J Surg 44 187 1957 496 501
Y. Lacomme, and J.M. Massat Venous hemangioma of the parotid in adults Ann Otolaryngol Chir Cervicofac 101 8 1984 615 619
F. Tovi, H. Zirkin, and J. Sidi Trismus resulting from a parotid hemangioma J Oral Maxillofac Surg 41 7 1983 468 469
F. Dubrulle, N. Martin-Duverneuil, and G. Moulin Imagerie en ORL 2010 Édition Elsevier Masson Paris
J. Dubois, and L. Garel Imaging and therapeutic approach of hemangiomas and vascular malformations in the pediatricage group Pediatr Radiol 29 1999 879 893
K.W. Altman, F.E. Marchant, and R.H. Ochs Parotid cavernous hemangioma in an adult Ear Nose Throat J 77 2 1998 122 124
L. Su, X. Fan, and L. Zheng Absolute ethanol sclerotherapy for venous malformations in the face and neck J Oral MaxillofacSurg 68 7 2010 1622 1627
G.C. Kang, and C. Song Forty-one cervicofacial vascular anomalies and their surgical treatment: retrospection and review Ann Acad Med Singapore 37 3 2008 165 179
M. Nussbaum, S. Tan, and M.L. Som Hemangiomas of the salivary glands Laryngoscope 86 7 1976 1015 1059
M. Wassef, R. Vanwijck, and P. Clapuyt Vascular tumours and malformations, classification, pathology and imaging Ann Chir Plast Esthet 51 4-5 2006 263 281
