PAROTID SWELLING IN CHILDREN

OUR EXPERIENCE AT DEPARTMENT OF PAEDIATRIC SURGERY B.V. HOSPITAL BAHAWALPUR

Abstract

Objective: To describe the clinical and pathological presentation as well as treatment options of parotid swelling in
children. D e s i g n : Descriptive case series study. S e t t i n g : Department of Paediatric Surgery Bahawal Victoria Hospital Bahawalpur. Period:
From Nov2005 to Jul2007. Material a n d m e t h o d : All patients of either sex below the age of 13 years presenting with parotid swelling were
included in the study. Clinical presentations, preoperative investigations, operative procedures, histopathology reports, postoperative
complications and further management (radiotherapy &chemotherapy) were recorded. Results: Twelve patients presented with parotid
swelling. Commonest presentation was a lump over the parotid region (100%) & pain (25%). Majority of tumours were benign (50%).
Vascular lesions outnumbered solid tumours. 4 patients (33.33%) had haemangioma 1 patient (8.33%) had cystic hygroma, one patient
each of pleomorphic adenoma, mucoepidermoid carcinoma and Adenocarcinoma. C o n c l u s i o n : Salivary gland lesions are most likely
inflammatory in origin. Vascular tumours are common benign tumours than epithelial tumours in children. Superficial parotidectomy is the
operation for benign tumours and total conservative parotidectomy for malignant tumours.