TY - JOUR
T1 - Preoperative prediction of the location of parotid gland tumors using anatomical landmarks
AU - Lim, Chi Young
AU - Chang, Hang Seok
AU - Nam, Kee Hyun
AU - Chung, Woong Youn
AU - Park, Cheong Soo
PY - 2008/10
Y1 - 2008/10
N2 - Background: The location of the parotid gland tumor can affect the duration and difficulty of operation. Therefore, accurate preoperative evaluation of tumor location can affect surgical outcomes. Methods: Results in 100 patients with parotid gland tumors who underwent parotidectomy between January 2000 and October 2005 were retrospectively reviewed. Tumor location was determined relative to four landmarks-facial nerve (FN) line, Utrecht (U) line, Conn's arc (CA), and retromandibular vein (RV)-on computerized tomography (CT) scans, and confirmed by intraoperative findings. The accuracy of each landmark was evaluated. Correlations between accuracy and tumor size were determined for tumors ≤2 cm and >2 cm in diameter. Results: Of the four landmarks, the U line was the most accurate (94%), sensitive (89.3%), and specific (97.7%) in predicting tumor location. However, for tumors ≤2 cm in diameter, FN line (p = 0.022) and RV (p = 0.028) were significantly more accurate than U line and CA. Conclusion: Although the U line was the most accurate in predicting the location of parotid gland tumors, landmarks predicting accurate tumor location should be selected according to tumor size.
AB - Background: The location of the parotid gland tumor can affect the duration and difficulty of operation. Therefore, accurate preoperative evaluation of tumor location can affect surgical outcomes. Methods: Results in 100 patients with parotid gland tumors who underwent parotidectomy between January 2000 and October 2005 were retrospectively reviewed. Tumor location was determined relative to four landmarks-facial nerve (FN) line, Utrecht (U) line, Conn's arc (CA), and retromandibular vein (RV)-on computerized tomography (CT) scans, and confirmed by intraoperative findings. The accuracy of each landmark was evaluated. Correlations between accuracy and tumor size were determined for tumors ≤2 cm and >2 cm in diameter. Results: Of the four landmarks, the U line was the most accurate (94%), sensitive (89.3%), and specific (97.7%) in predicting tumor location. However, for tumors ≤2 cm in diameter, FN line (p = 0.022) and RV (p = 0.028) were significantly more accurate than U line and CA. Conclusion: Although the U line was the most accurate in predicting the location of parotid gland tumors, landmarks predicting accurate tumor location should be selected according to tumor size.
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U2 - 10.1007/s00268-008-9663-0
DO - 10.1007/s00268-008-9663-0
M3 - Article
C2 - 18581165
AN - SCOPUS:51649098958
VL - 32
SP - 2200
EP - 2203
JO - World Journal of Surgery
JF - World Journal of Surgery
SN - 0364-2313
IS - 10
ER -