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ORIGINAL ARTICLE
Otorhinolaryngology 2021 December;71(4):267-72
DOI: 10.23736/S2724-6302.21.02356-2
Copyright © 2021 EDIZIONI MINERVA MEDICA
lingua: Inglese
Partial parotidectomy versus superficial or extracapsular parotidectomy: a comparison of quality of life and complication rates
Ergun SEVIL 1 ✉, Fatih GUL 2, Tolga OGUZHAN 3, Togay MUDERRIS 4, Emre MIRICI 5, Sami BERCIN 2, Muzaffer KIRIS 2
1 Department of Otolaryngology Head and Neck Surgery, Trabzon Kanuni Training and Research Hospital, Trabzon, Turkey; 2 Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Yildirim Beyazit University, Ankara, Turkey; 3 Department of Otolaryngology Head and Neck Surgery, Acibadem Hospital, Istanbul, Turkey; 4 Department of Otolaryngology Head and Neck Surgery, Kestel State Hospital, Bursa, Turkey; 5 Department of Otolaryngology Head and Neck Surgery, Faculty of Medicine, Bakircay University, Izmir, Turkey
BACKGROUND: Parotidectomy is one of the most commonly performed face surgeries. The aim of this study was to evaluate the changes in the Quality of Life (QOL) in patients undergoing surgical procedures for the parotid gland as a benign neoplastic disease.
METHODS: The medical data of 165 patients who underwent benign disease parotidectomy between November 2008 and April 2020 were evaluated. The Parotidectomy Outcome Inventory-8 (POI-8) was used to assess the QOL related to symptoms. In addition, an ordinal scale was used to evaluate the aesthetic outcome.
RESULTS: Scar pain and Frey syndrome rates were 3% and 14.5%, respectively. Transient or permanent facial palsy occurred following partial parotidectomy (PP) and superficial parotidectomy (SP). These two types of parotid resections showed statistically significant differences in terms of permanent and transient facial palsy (P<0.05). There was no significant relationship between tumor extent and sensory disruption, scar pain, Frey syndrome rate, and facial palsy.
CONCLUSIONS: Sufficient dissection method must be chosen to attain the least uncomfortable result for the patient.
KEY WORDS: Facial nerve; Quality of Life; Hypoesthesia