Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms
Objective: The aim of this study was to evaluate the role of individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid tumors. Methods: A total of 154 consecutive patients who underwent individualized parotidectomy for benign parotid gland neop...
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| Format: | Article |
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Elsevier
2022-01-01
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| Series: | Advances in Oral and Maxillofacial Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S266714762100176X |
| _version_ | 1819294861751222272 |
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| author | Yu Zhou Xianjie Duan Chengyun Si Chuanjun Chen Hui Peng Zhihong Zhang |
| author_facet | Yu Zhou Xianjie Duan Chengyun Si Chuanjun Chen Hui Peng Zhihong Zhang |
| author_sort | Yu Zhou |
| collection | DOAJ |
| description | Objective: The aim of this study was to evaluate the role of individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid tumors. Methods: A total of 154 consecutive patients who underwent individualized parotidectomy for benign parotid gland neoplasms were retrospectively reviewed. We analyzed the incidence and the significant risk factors associated with postoperative facial paralysis after individualized parotidectomy. Results: Postoperative transient FP was observed in 25 patients (16.2%). None of the patients developed a recurrence or permanent facial paralysis. Grade II facial nerve function was predominant (92.0%) and no patient had grade VI. Among the 25 patients, the facial nerve function of 93.6% of patients recovered in 3 months, and function had recovered in 100% of patients in 6 months. Tumor location, tumor size and surgery extent were the significant and independent risk factors associated with postoperative facial paralysis after individualized parotidectomy. Conclusion: Individualized parotidectomy can effectively reduce the incidence of postoperative facial paralysis and shorten the recovery time of facial nerve injury for primary benign parotid neoplasms. |
| first_indexed | 2024-12-24T04:33:03Z |
| format | Article |
| id | doaj.art-eddf5ab9bd9043e4932a8e570b576544 |
| institution | Directory Open Access Journal |
| issn | 2667-1476 |
| language | English |
| last_indexed | 2024-12-24T04:33:03Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
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| series | Advances in Oral and Maxillofacial Surgery |
| spelling | doaj.art-eddf5ab9bd9043e4932a8e570b5765442022-12-21T17:15:21ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762022-01-015100187Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasmsYu Zhou0Xianjie Duan1Chengyun Si2Chuanjun Chen3Hui Peng4Zhihong Zhang5Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, PR ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, PR ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, PR ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, PR ChinaDepartment of Oral and Maxillofacial Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, PR ChinaCorresponding author.; Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, 230001, PR ChinaObjective: The aim of this study was to evaluate the role of individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid tumors. Methods: A total of 154 consecutive patients who underwent individualized parotidectomy for benign parotid gland neoplasms were retrospectively reviewed. We analyzed the incidence and the significant risk factors associated with postoperative facial paralysis after individualized parotidectomy. Results: Postoperative transient FP was observed in 25 patients (16.2%). None of the patients developed a recurrence or permanent facial paralysis. Grade II facial nerve function was predominant (92.0%) and no patient had grade VI. Among the 25 patients, the facial nerve function of 93.6% of patients recovered in 3 months, and function had recovered in 100% of patients in 6 months. Tumor location, tumor size and surgery extent were the significant and independent risk factors associated with postoperative facial paralysis after individualized parotidectomy. Conclusion: Individualized parotidectomy can effectively reduce the incidence of postoperative facial paralysis and shorten the recovery time of facial nerve injury for primary benign parotid neoplasms.http://www.sciencedirect.com/science/article/pii/S266714762100176XParotid glandBenign neoplasmParotidectomyFacial nerveFacial paralysisRisk factors |
| spellingShingle | Yu Zhou Xianjie Duan Chengyun Si Chuanjun Chen Hui Peng Zhihong Zhang Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms Advances in Oral and Maxillofacial Surgery Parotid gland Benign neoplasm Parotidectomy Facial nerve Facial paralysis Risk factors |
| title | Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms |
| title_full | Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms |
| title_fullStr | Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms |
| title_full_unstemmed | Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms |
| title_short | Individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms |
| title_sort | individualized parotidectomy to reduce the incidence of postoperative facial paralysis for primary benign parotid neoplasms |
| topic | Parotid gland Benign neoplasm Parotidectomy Facial nerve Facial paralysis Risk factors |
| url | http://www.sciencedirect.com/science/article/pii/S266714762100176X |
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