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Issues after surgical procedure for benign parotid gland neoplasms: A potential cohort examine.
Head Neck. 2017 Jan;39(1):170-176
Authors: Ruohoalho J, Mäkitie AA, Aro Ok, Atula T, Haapaniemi A, Keski-Säntti H, Takala A, Bäck LJ
Summary
BACKGROUND: Potential research on procedure-specific incidences of issues after benign parotid surgical procedure are missing. Predictive components for postoperative facial dysfunction stay controversial.
METHODS: We performed a potential examine on 132 sufferers present process parotid surgical procedure for benign parotid neoplasms. We analyzed complication charges and assessed danger components of postoperative transient facial palsy.
RESULTS: Facial palsy price was 40.2% on the primary postoperative day, 28.three% at 2 weeks, three.9% at 6 months, and 1.6% at 12 months. Fast postoperative palsy charges in subgroups of partial superficial parotidectomy, superficial parotidectomy, prolonged parotidectomy, and ECD have been 41.5%, 43.eight%, 53.eight%, and 6.three%, respectively. Age, period of surgical procedure, and use of ultrasound knife have been recognized as danger components for transient facial palsy.
CONCLUSION: Relying on the operation kind, as much as half of the sufferers expertise facial palsy after benign parotid surgical procedure. Larger age and longer period of operation improve the danger. The function of operative instrumentation requires additional research. © 2016 Wiley Periodicals, Inc. Head Neck 39: 170-176, 2017.
PMID: 27131221 [PubMed – indexed for MEDLINE]