Episode # 243 • 14 Oct 2025
Parotid Malignancies: Diagnosis, Biopsy & Treatment Strategies
When should a parotid mass raise red flags? In this episode of the BackTable ENT podcast, Dr. Mirabelle Sajisevi, head and neck surgeon at the University of Vermont Medical Center, joins hosts Dr. Gopi Shah and Dr. Ashley Agan to discuss her approach to diagnosing and managing parotid malignancies.
Timestamps
00:00 - Introduction
01:54 - Understanding Parotid Malignancies
02:56 - Patient Referral and Initial Examination
04:27 - Diagnostic Procedures and Follow-Up
10:18 - Fine Needle Aspiration (FNA) and Biopsy
16:10 - Surgical Planning and Patient Counseling
29:06 - Navigating Tumor and Nerve Proximity
29:55 - Parotid Surgeries and Soft Tissue Management
30:50 - Deep Lobe Tumors and Patient Expectations
32:18 - Reconstructive Techniques for Parotid Defects
35:37 - Facial Nerve Challenges in Surgery
41:00 - Neck Dissection and Post-Op Considerations
42:24 - Adjuvant Therapies and Clinical Trials
46:10 - Surveillance and Long-Term Follow-Up
50:52 - Future Directions in Salivary Gland Cancer Treatment
52:53 - Conclusion
Resources
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More about this episode
Dr. Sajisevi shares insights from her practice, including the importance of thorough physical exams, the utility of ultrasound and biopsy, and the intricacies of surgical planning. They also cover post-operative care, the role of radiation and chemotherapy, surveillance strategies, and the potential of emerging treatments and technologies.
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