Iro and Zenk1 are to be commended on their concise and thorough discussion of the role of extracapsular dissection (ED) in the surgical management of benign parotid tumors. This discussion, as well as a review of the literature, supports their hypothesis that “ED is a safe and effective surgical technique in the management of benign parotid neoplasms.” The true challenge is how best to incorporate this information and surgical technique into the global management of parotid tumors. Several points require consideration: the correct definition of the available and historical techniques for addressing parotid neoplasms, close analysis of the comparisons to date, a thorough understanding of the technique as well as evaluation of the relevant complication rates, and specific pitfalls associated with ED. Finally, as noted by all authors publishing on this procedure, significant expertise is required to successfully integrate ED into practice.
Deschler DG. Extracapsular Dissection of Benign Parotid Tumors. JAMA Otolaryngol Head Neck Surg. 2014;140(8):770-771. doi:10.1001/jamaoto.2014.1223