Prospective study on complications using different techniques for parotidectomy for benign tumors
Abstract Objectives Long‐term prospective studies on procedure‐related complications after parotid surgery for benign neoplasms (BNs) are scarce. This is the first prospective study on the use of extracapsular dissection (ECD) for BNs, and it aimed to examine the incidence of postoperative complicat...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-12-01
|
| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.694 |
| _version_ | 1818344253448781824 |
|---|---|
| author | Rubens Thölken Monika Jering Marcel Mayer Stefan Schiele Gernot Müller Johannes Zenk |
| author_facet | Rubens Thölken Monika Jering Marcel Mayer Stefan Schiele Gernot Müller Johannes Zenk |
| author_sort | Rubens Thölken |
| collection | DOAJ |
| description | Abstract Objectives Long‐term prospective studies on procedure‐related complications after parotid surgery for benign neoplasms (BNs) are scarce. This is the first prospective study on the use of extracapsular dissection (ECD) for BNs, and it aimed to examine the incidence of postoperative complications after parotid surgery for BN. Methods We collected data obtained in a prospective study of parotidectomy for BN at a university hospital and analyzed the transient and long‐term complications. Results The incidence rates of transient facial palsy immediately and 18 months after surgery were 15.0% and 3.7%, respectively. The rates of immediate postoperative facial palsy in patients who underwent ECD, partial superficial, superficial, and total parotidectomy were 5.8%, 29.3%, 20.0%, and 44.1%, respectively. Significant risk factors for facial palsy included multiple and larger lesions as well as surgery duration and extension. Conclusions Postoperative facial palsy remains a common complication after parotidectomy for BN and is associated with the extent of parotidectomy, presence of multiple neoplasms, and operative duration. The results of this study showed that ECD could be a safe technique for avoiding facial palsy. Level of Evidence: 2. |
| first_indexed | 2024-12-13T16:43:32Z |
| format | Article |
| id | doaj.art-b71099e9133d458c9743e071e6a746fa |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-12-13T16:43:32Z |
| publishDate | 2021-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-b71099e9133d458c9743e071e6a746fa2022-12-21T23:38:14ZengWileyLaryngoscope Investigative Otolaryngology2378-80382021-12-01661367137510.1002/lio2.694Prospective study on complications using different techniques for parotidectomy for benign tumorsRubens Thölken0Monika Jering1Marcel Mayer2Stefan Schiele3Gernot Müller4Johannes Zenk5Department of Otorhinolaryngology and Head and Neck Surgery University Hospital Augsburg Augsburg GermanyDepartment of Otorhinolaryngology and Head and Neck Surgery University Hospital Augsburg Augsburg GermanyDepartment of Otorhinolaryngology and Head and Neck Surgery University Hospital Augsburg Augsburg GermanyInstitute of Mathematics, Augsburg University Augsburg GermanyInstitute of Mathematics, Augsburg University Augsburg GermanyDepartment of Otorhinolaryngology and Head and Neck Surgery University Hospital Augsburg Augsburg GermanyAbstract Objectives Long‐term prospective studies on procedure‐related complications after parotid surgery for benign neoplasms (BNs) are scarce. This is the first prospective study on the use of extracapsular dissection (ECD) for BNs, and it aimed to examine the incidence of postoperative complications after parotid surgery for BN. Methods We collected data obtained in a prospective study of parotidectomy for BN at a university hospital and analyzed the transient and long‐term complications. Results The incidence rates of transient facial palsy immediately and 18 months after surgery were 15.0% and 3.7%, respectively. The rates of immediate postoperative facial palsy in patients who underwent ECD, partial superficial, superficial, and total parotidectomy were 5.8%, 29.3%, 20.0%, and 44.1%, respectively. Significant risk factors for facial palsy included multiple and larger lesions as well as surgery duration and extension. Conclusions Postoperative facial palsy remains a common complication after parotidectomy for BN and is associated with the extent of parotidectomy, presence of multiple neoplasms, and operative duration. The results of this study showed that ECD could be a safe technique for avoiding facial palsy. Level of Evidence: 2.https://doi.org/10.1002/lio2.694complication after parotidectomyextracapsular dissectionfacial palsyFrey's syndromeparotidectomy for benign neoplasms |
| spellingShingle | Rubens Thölken Monika Jering Marcel Mayer Stefan Schiele Gernot Müller Johannes Zenk Prospective study on complications using different techniques for parotidectomy for benign tumors Laryngoscope Investigative Otolaryngology complication after parotidectomy extracapsular dissection facial palsy Frey's syndrome parotidectomy for benign neoplasms |
| title | Prospective study on complications using different techniques for parotidectomy for benign tumors |
| title_full | Prospective study on complications using different techniques for parotidectomy for benign tumors |
| title_fullStr | Prospective study on complications using different techniques for parotidectomy for benign tumors |
| title_full_unstemmed | Prospective study on complications using different techniques for parotidectomy for benign tumors |
| title_short | Prospective study on complications using different techniques for parotidectomy for benign tumors |
| title_sort | prospective study on complications using different techniques for parotidectomy for benign tumors |
| topic | complication after parotidectomy extracapsular dissection facial palsy Frey's syndrome parotidectomy for benign neoplasms |
| url | https://doi.org/10.1002/lio2.694 |
| work_keys_str_mv | AT rubenstholken prospectivestudyoncomplicationsusingdifferenttechniquesforparotidectomyforbenigntumors AT monikajering prospectivestudyoncomplicationsusingdifferenttechniquesforparotidectomyforbenigntumors AT marcelmayer prospectivestudyoncomplicationsusingdifferenttechniquesforparotidectomyforbenigntumors AT stefanschiele prospectivestudyoncomplicationsusingdifferenttechniquesforparotidectomyforbenigntumors AT gernotmuller prospectivestudyoncomplicationsusingdifferenttechniquesforparotidectomyforbenigntumors AT johanneszenk prospectivestudyoncomplicationsusingdifferenttechniquesforparotidectomyforbenigntumors |