An Experience of Superficial Parotidectomy in Tertiary Care Teaching Hospitals

2021 ◽  
Vol 15 (11) ◽  
pp. 3066-3068
Author(s):  
Liaquat Ali Bhatti ◽  
Muhammad Aslam Javed ◽  
Hina Khan ◽  
Muhammad Arshad ◽  
Khalid Javeed Khan
Keyword(s):  
Facial Nerve ◽  
Demographic Data ◽  
Tertiary Care ◽  
Study Data ◽  
Teaching Hospitals ◽  
Facial Nerve Paralysis ◽  
Superficial Parotidectomy ◽  
Nerve Paralysis ◽  
Parotid Tumors ◽  
Surgical Unit

Background: Superficial parotidectomy is associated with a decreased incidence of transient facial nerve paralysis compared with that of total parotidectomy. Aim: To analyze the clinical presentation, histopathology and complications following superficial parotidectomy performed for benign parotid tumors. Methods: Two center study data was collected from the Surgical Unit I, Department of Surgery AIMC/Jinnah Hospital Lahore (1st January 2012 to October 2018) and Surgical Unit II, Department of Surgery, Sir Ganga Ram Hospital Lahore (November 2018 to 31st December 2020). All patients who underwent superficial Parotidectomy surgery for benign parotid tumors, from 1st January 2012 to 31st December 2020 were assessed for intra-operative and post-operative complications. Demographic data, intraoperative details, and postoperative outcomes of all patients who underwent superficial parotidectomy were collected. Patients with benign parotid tumors on FNAC were included while patients with malignant cells on histopathology were excluded. Results: A total of 50 patients having benign parotid tumors on FNAC underwent superficial parotidectomy during this study period. There were 35 female patients (70%) and 15 male (30%), with female to male ratio of 2.3:1. The age range was 23-70 years with mean age of patients 35.6 years (5.65±SD). In 48% cases the tumor was on left side of face and in 52% cases it was on right side. Amongst 50 cases, on postoperative histopathology, 2 patients had malignant change. Key words: Superficial parotidectomy, pleomorphic adenoma, facial nerve paralysis.

scholarly journals Parotidectomy and Facial Paralysis, A Retrospective Review at A Tertiary Care Hospital

2021 ◽  
Vol 10 (3) ◽  
pp. 164-168
Author(s):  
Israr ud Din ◽  
Muhammad Junaid ◽  
Imran Khan ◽  
Arshad Aziz ◽  
Sakhawat Khan ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Facial Paralysis ◽  
Tertiary Care ◽  
Occurrence Rate ◽  
Facial Nerve Paralysis ◽  
Care Hospital ◽  
Female Population ◽  
Nerve Paralysis ◽  
Parotid Tumors ◽  
Parotid Surgery

Background: Facial Nerve is in close proximity with parotid gland and encountered during parotid surgery.  Facial nerve   paralysis   has   15 to 66% occurrence rate after parotidectomies. The objective of this study was to find out the frequency of facial paralysis resulting from superficial or total parotidectomies done for various parotid tumors. Material and Methods: This retrospective study was conducted at the Department of ENT, Khyber Teaching Hospital, Peshawar from January 2018 to May 2020. A total of 203 patients were reviewed for data on demographics, parotidectomies, histopathology and facial paralysis. The information on facial paralysis was compared against various parameters. Results:   The mean age of   the participants was 46.12 ± 11.11 years. The most common parotid tumor was pleomorphic adenoma (68.9%) followed by mucoepidermoid carcinoma. 57 (28.07%) patients showed facial paralysis with a higher rate of occurrence in total parotidectomy (40.90%). Among 57 patients with facial paralysis, 6 (10.53%) showed permanent facial paralysis. Conclusion: Tendency of permanent facial paralysis is high with total parotidectomies. Female population and elderly have a slightly higher rate of facial paralysis. The duration of procedure has no effect on the occurrence of facial paralysis.

Oncocytic differentiation in salivary gland tumours

1995 ◽  
Vol 109 (6) ◽  
pp. 569-571 ◽  
Author(s):  
Jorge A. Ferreiro ◽  
Nickolaos Stylopoulos
Keyword(s):  
Salivary Gland ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Mucoepidermoid Carcinoma ◽  
Facial Nerve Paralysis ◽  
Major Salivary Gland ◽  
Superficial Parotidectomy ◽  
Nerve Paralysis ◽  
Salivary Gland Tumours ◽  
Pleomorphic Adenomas

AbstractAn oncocytic mucoepidermoid carcinoma and an oncocytic pleomorphic adenoma occurred in a 47-year-old male and a 75-year-old female, respectively. Both presented as asymptomatic parotid gland masses without evidence of facial nerve paralysis and were treated by superficial parotidectomy. There has been no evidence of recurrence or metastasis. Oncocytic change is rare in major salivary gland mucoepidermoid carcinoma with only two previously reported cases. Marked oncocytic transformation of pleomorphic adenomas can cause their confusion with oncocytomas. Recognition of oncocytic differentiation in various salivary gland tumours is important to avoid misclassification of these lesions.

Reconstruction of Complex Parotidectomy Defects Using the Lateral Arm Free Tissue Transfer

2003 ◽  
Vol 129 (3) ◽  
pp. 183-191 ◽  
Author(s):  
Theodoros N. Teknos ◽  
Brian Nussenbaum ◽  
Carol R. Bradford ◽  
Mark E. Prince ◽  
Hussam El-Kashlan ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Donor Site ◽  
Tertiary Care ◽  
Case Series ◽  
Facial Nerve Paralysis ◽  
Complication Rates ◽  
Nerve Paralysis ◽  
Lateral Arm Flap ◽  
The Mean ◽  
Facial Clinimetric Evaluation Scale

OBJECTIVES: The study goal was to show that the lateral arm flap is a viable reconstructive option for complex parotidectomy defects. STUDY DESIGN AND SETTING: We studied a case series at a tertiary care medical center from March 1997 to March 2002. The lateral arm flap was used to reconstruct parotidectomy defects that included a composite resection of adjacent tissue in 30 patients. There were 19 men and 11 women (mean age, 62 years; mean follow-up, 19 months). The mean flap area was 114 cm2, and the mean flap volume was 172 cm3. The posterior cutaneous nerve of the forearm (PCNF) was used as a facial nerve cable graft in 14 patients. Facial disability outcomes were measured using the Facial Clinimetric Evaluation scale. RESULTS: The major and minor complication rates with use of this reconstructive approach were low: 16.7% (5 of 30) and 26.7% (8 of 30), respectively. Donor site morbidity was minimal, with no patient having a major donor site complication and 23.3% (7 of 30) having minor complications. Functional recovery of the facial nerve occurred in 6 of 8 evaluable patients who underwent facial nerve grafting using the PCNF. Controlling for degree of facial nerve paralysis, Facial Clinimetric Evaluation scale scores of our patients were not statistically different than those of a historic population with a facial paralysis and no surgical defect. CONCLUSIONS: The lateral arm free flap effectively restores facial appearance when used for reconstruction of complex parotidectomy defects. The PCNF, a nerve harvested with the lateral arm flap, can be used as a facial nerve cable graft with a high rate of success. SIGNIFICANCE: The lateral arm flap is successful as a single donor site for reconstructing facial contour and the facial nerve after major ablative defects in the parotid region.

scholarly journals Role of HRCT in temporal bone trauma vis-à-vis site of facial nerve injury: a pilot study

2020 ◽  
Vol 7 (1) ◽  
pp. 22
Author(s):  
Manish Munjal ◽  
Anju Mehndiratta ◽  
Harneet Khurana ◽  
Shubham Munjal ◽  
Ajit Singh Khurana ◽  
...  
Keyword(s):  
Head Injury ◽  
Facial Nerve ◽  
Temporal Bone ◽  
Tertiary Care ◽  
Care Facility ◽  
Trauma Centre ◽  
Facial Nerve Paralysis ◽  
High Resolution Computed Tomography ◽  
Nerve Paralysis ◽  
Tertiary Care Facility

<p class="abstract"><strong>Background:</strong> Facial nerve paralysis in head injuries has a lesion in the bony fallopian canal. The line of fracture and site of lesion was studied using high resolution computed tomography.</p><p class="abstract"><strong>Methods:</strong> A prospective study of 37 subjects of facial nerve paralysis following head injury was undertaken. The patients were selected from the neurosurgical trauma centre of a tertiary care facility, of Dayanand Medical College, Ludhiana, during a period of one and a half years. HRCT was performed taking 2 mm axial and coronal cuts of temporal bone for all patients to analyse the type and site of fracture of the bony facial canal.  </p><p class="abstract"><strong>Results:</strong> Total 19 (51.3%) patients had longitudinal fractures while transverse fracture was seen in 7 (18.9%) patients and 11 (29.7%) patients showed comminuted fracture on HRCT. Perigeniculate region was involved in 4 (44.4%) patients. Tympanic segment was affected in 3 (33.3%) patients and the mastoid segment in 4 (44.4%). The tympanic and the mastoid segments were involved simultaneously in two patients. These findings correlated with those observed on HRCT. 500 patients of head injury were screened and 48 (9.6%) patients were found to have facial nerve paralysis. 44 (91.67%) of these were males and 4 (8.33%) females. Majority of the patients (62.5%) were between the age group of 21-40 years.</p><p class="abstract"><strong>Conclusions:</strong> In the present study of facial paralysis post head injury, longitudinal facial fractures were commonest followed by mixed and transverse on HRCT. The pregeniculate and the mastoid segments showed an equal incidence followed by the tympanic segment.</p>

S166 – Partial Parotidectomy for Benign Parotid Tumors

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P131-P132 ◽  
Author(s):  
Guillermo Plaza ◽  
Monica Hernando ◽  
Maria Urbasos ◽  
Luz Martin ◽  
Jose Montojo ◽  
...  
Keyword(s):  
Late Complications ◽  
University Hospital ◽  
Histopathological Diagnosis ◽  
Facial Nerve Paralysis ◽  
Superficial Parotidectomy ◽  
Recurrence Rates ◽  
Nerve Paralysis ◽  
Parotid Tumors ◽  
Estimated Blood Loss ◽  
Significant Difference

Objectives 1) To evaluate our results and complications after partial parotidectomy vs. superficial parotidectomy, as primary treatment of benign parotid tumors. 2) To present an evidence-based review on partial parotidectomy as the method of choice of treatment of benign parotid tumors. Methods A case-control study is presented on parotidec-tomy, comparing a group of 25 patients treated by partial parotidectomy vs. a similar group of 25 patients treated by superficial parotidectomy. All patients had primary benign parotid tumors, were matched by sex and age, and had a minimum follow-up of 12 months in a university hospital. Independent variables included sex, age, medical history, intraoperative variables (surgical time, estimated blood loss, type of drainage, use of collagen), fine-needle aspiration, CT findings, and final histopathological diagnosis. Outcome measures were early and late complications, such as facial nerve paralysis, seroma, sialocele, Frey syndrome, and recurrence. Comparison of both groups was done by Chi-squared and non-parametric analysis, after a .05 significance level, and multivariate regression analysis. Results Partial parotidectomy resulted in less early and late complications than superficial parotidectomy, with similar recurrence rates. Facial paresis was found in 24% of partial surgeries, vs. 36% of superficial ones (a significant difference); 3 months after surgery, only 1 patient has a persistent marginal nerve paresis. By contrast, only seroma was more common after partial parotidectomy (28% vs 16%). Conclusions Partial parotidectomy achieves less early and late complications than superficial parotidectomy, with similar recurrence rates.

scholarly journals Study of salivary gland tumors and its management outcome in tertiary care hospital in Chennai

2021 ◽  
Vol 8 (7) ◽  
pp. 2025
Author(s):  
Manivannan Dhanraj ◽  
Vinodh Duraisami ◽  
Maniselvi Samidurai ◽  
Kannan Ross
Keyword(s):  
Salivary Gland ◽  
Facial Nerve ◽  
Salivary Glands ◽  
Tertiary Care ◽  
Salivary Gland Tumors ◽  
Facial Nerve Paralysis ◽  
Care Hospital ◽  
Nerve Paralysis ◽  
Fine Needle ◽  
Parotid Surgery

Background: Salivary gland tumors can arise from either the major salivary glands (parotid, submandibular and sublingual) or the minor salivary glands which are located throughout the submucosa of the upper aerodigestive tract. They can show a striking range of morphological diversity between different tumor types and sometimes within an individual tumor mass. Aim of the study was to study the role of fine needle aspiration cytology (FNAC) in the diagnosis of salivary gland tumors.Methods: This study was conducted comprising 34 patients attending the department of general surgery at Rajiv Gandhi government general hospital, MMC from January 2019 to December 2020 period of 24 months. A standard protocol was followed consisting of detailed history and physical examination, radiological evaluation followed by fine needle cytological examination. Histopathological examination was done in all the excised tumors for final diagnosis.Results: FNAC was done only in 20 out of 29 parotid tumors of which 12 were benign, 5 were malignant and 3 were inconclusive. In the present study superficial parotidectomy was done in 24 cases. Total parotidectomy was done in 3 out of 5 cases. Two patients refused surgery. Following surgery, 5 patients developed transient facial nerve paralysis and one patient developed permanent facial nerve paralysisConclusions: In tumors of the parotid gland, post-operative facial nerve palsy was rarely noticed. The best means of reducing iatrogenic facial nerve injury in parotid surgery remains an understanding of the anatomy coupled with a gentle technique.

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