Morbidity of parotid gland surgery: Results 1 year post-operative

被引：9
作者：
De Ru J.A. [1 ]
Van Benthem P.P.G. [2 ]
Hordijk G.J. [1 ]
机构：
[1] Department of Otolaryngology, Head and Neck Surgery, University Medical Center, 3584 CX, Utrecht
[2] Department of Otolaryngology, Head and Neck Surgery, Gelre Hospitals, 7300 DZ, Apeldoorn
来源：
European Archives of Oto-Rhino-Laryngology and Head & Neck | 2006年 / 263卷 / 6期
关键词：
Frey's syndrome; Great auricular nerve; Morbidity; Parotid gland; Surgery;
D O I：
10.1007/s00405-006-0016-z
中图分类号：
学科分类号：
摘要：
Patients operated on for parotid gland tumours were evaluated prospectively to study morbidity after this procedure. Nowadays, major complications such as recurrence of tumour and permanent facial nerve paresis are rare after primary surgery. Therefore, this study especially takes minor complications such as Frey's syndrome and sensory deficits into account. The study documents morbidity in 45 patients who completed a 1 year follow-up. Among those with primary benign tumours, we found no recurrences and no permanent paresis, nor did starch-iodine testing reveal any cases of Frey's syndrome. However, two patients who had previously been operated on multiple times did test positive for Frey's syndrome, as did two others after surgery for malignancy. Furthermore, we found that patients whose posterior branch of the great auricular nerve was sacrificed had a larger area of sensory deficit than those whose nerve was preserved. We conclude that the morbidity of parotid gland surgery can be reduced further by giving minor complications more attention. © Springer-Verlag 2006.
引用
收藏
页码：582 / 585
页数：3
相关论文
共 21 条
  • [1] Biglioli F., D'Orto O., Bozzetti A., Brusati R., Function of the great auricular nerve following surgery for benign parotid disorders, J Craniomaxillofac Surg, 30, pp. 318-321, (2002)
  • [2] Bonanno P.C., Casson P.R., Frey's syndrome a preventable phenomenon, Plast Reconst Surg, 89, pp. 452-456, (1992)
  • [3] Brown A.M., Wake M.J., Accidental full thickness burn of the earlobe following division of the great auricular nerve at parotidectomy, Br J Oral Maxillofac Surg, 28, pp. 178-179, (1990)
  • [4] Casler J.D., Conley J., Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey's syndrome, Laryngoscope, 101, pp. 95-100, (1991)
  • [5] Cesteleyn L., Helman J., King S., Van De Vyvere G., Temporoparietal fascia flaps and superficial musculoaponeurotic system plication in parotid surgery reduces Frey's syndrome, J Oral Maxillofac Surg, 60, pp. 1284-1297, (2002)
  • [6] Colella G., Boriello C., Lanza A., Rossiello R., Siniscalchi G., Traumatic neuroma of the great auricular nerve, a clinical case, Minerva Stomatol, 51, pp. 279-283, (2002)
  • [7] Commins D.J., Roberts D., Fisher C., Breach N.M., Seeding of a parotid pleomorphic adenoma, J Laryngol Otol, 109, pp. 671-673, (1995)
  • [8] Fee Jr. W.E., Tran L.E., Functional outcome after total parotidectomy reconstruction, Laryngoscope, 114, pp. 223-226, (2004)
  • [9] House J.W., Brackmann D.E., Facial nerve grading system, Otolaryngol Head Neck Surg, 93, pp. 146-147, (1985)
  • [10] Hui Y., Wong D.S.Y., Wong L.-Y., Ho W.-K., Wei W.I., A prospective controlled double-blind trial of great auricular nerve preservation at parotidectomy, Am J Surg, 185, pp. 574-579, (2003)
123