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Determination of Complications using Different Techniques for Parotidectomy for Benign Tumors | Chapter 17 | New Horizons in Medicine and Medical Research Vol. 1

 The goal of this study was to conduct a long-term prospective study on procedure-related problems after parotid surgery for benign neoplasms (BNs). This is the first prospective study using extracapsular dissection (ECD) for BNs, with the purpose of determining the occurrence of postoperative sequelae after parotid surgery for BN.

The results of a prospective study of parotidectomy for BN at a university hospital were analysed for temporary and long-term consequences.

The rates of transitory facial palsy were 15.0 percent and 3.7 percent, respectively, immediately after surgery and 18 months later. Patients who received ECD, partial superficial, superficial, and whole parotidectomy had incidences of immediate postoperative facial palsy of 5.8%, 29.3%, 20.0 percent, and 44.1 percent, respectively. The presence of multiple and larger lesions, as well as the length and extent of surgery, were all significant risk factors for facial palsy.

Conclusions: Postoperative facial palsy is still a common consequence following parotidectomy for BN, and it is linked to the magnitude of the surgery, the presence of numerous neoplasms, and the length of the procedure. This study's findings suggested that ECD could be a safe way to avoid facial palsy.

Author(S) Details

Rubens Thölken
Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Augsburg, Sauerbruchstraße 6, 86179 Augsburg, Germany.

Monika Jering
Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Augsburg, Sauerbruchstraße 6, 86179 Augsburg, Germany.

Marcel Mayer
Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Augsburg, Sauerbruchstraße 6, 86179 Augsburg, Germany.

Stefan Schiele
Institute of Mathematics, Augsburg University, 86159 Augsburg, Germany.

Gernot Müller
Institute of Mathematics, Augsburg University, 86159 Augsburg, Germany.

Johannes Zenk
Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Augsburg, Sauerbruchstraße 6, 86179 Augsburg, Germany.

View Book:- https://stm.bookpi.org/NHMMR-V1/article/view/6182

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