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...