Author's response to the letter of the editor regarding the "Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors"

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F20%3A10415835" target="_blank" >RIV/00216208:11110/20:10415835 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064203:_____/20:10415835

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=wJZoiVSSt" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=wJZoiVSSt</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00405-020-06359-z" target="_blank" >10.1007/s00405-020-06359-z</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Author's response to the letter of the editor regarding the "Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors"

Popis výsledku v původním jazyce

We would like to thank Tretiakow and Skorek for their interesting comments. As we stated in our article, extracapsular dissection (ECD) is a surgical technique that has advantages and limitations and is only one of many options in benign parotid surgery. We agree that main indications are parotid tumors located at the caudal part or the tail of the parotid gland (PG). Experienced surgeons can expand the indications to tumors of the cranial part of the PG as shown in Figures 2 and 5 of our manuscript. Furthermore, we agree that pleomorphic adenoma (PLA) should be treated with extra caution. If PLA is preoperatively suspected, ECD can be applied, but surgeons have to make sure not to injure the capsule of the tumor and if possible, preserve some millimeters of healthy tissue around the tumor. We disagree with Tretiakow and Skorek that MRI (including diffusion-weighted sequences) is superior to ultrasound in the diagnosis of parotid tumors. As we could show in previous studies, multimodal ultrasound with elastography is a very promising method to help differentiate between benign and malignant PG tumors and cervical lymph nodes. Finally, we agree that all parotid surgeons offering extracapsular dissection should be highly experienced in all surgical techniques of PG surgery (especially superficial and total parotidectomy) and be able to safely identify the main trunk of the facial nerve, otherwise wrong indications and increased complications are inevitable.

Název v anglickém jazyce

Author's response to the letter of the editor regarding the "Review of surgical techniques and guide for decision making in the treatment of benign parotid tumors"

Popis výsledku anglicky

We would like to thank Tretiakow and Skorek for their interesting comments. As we stated in our article, extracapsular dissection (ECD) is a surgical technique that has advantages and limitations and is only one of many options in benign parotid surgery. We agree that main indications are parotid tumors located at the caudal part or the tail of the parotid gland (PG). Experienced surgeons can expand the indications to tumors of the cranial part of the PG as shown in Figures 2 and 5 of our manuscript. Furthermore, we agree that pleomorphic adenoma (PLA) should be treated with extra caution. If PLA is preoperatively suspected, ECD can be applied, but surgeons have to make sure not to injure the capsule of the tumor and if possible, preserve some millimeters of healthy tissue around the tumor. We disagree with Tretiakow and Skorek that MRI (including diffusion-weighted sequences) is superior to ultrasound in the diagnosis of parotid tumors. As we could show in previous studies, multimodal ultrasound with elastography is a very promising method to help differentiate between benign and malignant PG tumors and cervical lymph nodes. Finally, we agree that all parotid surgeons offering extracapsular dissection should be highly experienced in all surgical techniques of PG surgery (especially superficial and total parotidectomy) and be able to safely identify the main trunk of the facial nerve, otherwise wrong indications and increased complications are inevitable.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30206 - Otorhinolaryngology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2020

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Archives of Oto-Rhino-Laryngology

ISSN

0937-4477

e-ISSN

—

Svazek periodika

277

Číslo periodika v rámci svazku

12

Stát vydavatele periodika

DE - Spolková republika Německo

Počet stran výsledku

2

Strana od-do

3539-3540

Kód UT WoS článku

000572863900004

EID výsledku v databázi Scopus

2-s2.0-85091609434