scholarly journals Facial nerve paralysis postparotidectomy: A retrospective review of the prevalence and risk factors at a tertiary center

2017 ◽  
Vol 3 (4) ◽  
pp. 1
Author(s):  
Shahad T. Ghandoura ◽  
Mahmood Z. Al-Madani ◽  
Qusai A. Tawakul ◽  
Nada J. Farsi ◽  
Rolina K. Alwassia ◽  
...  
Keyword(s):  
Risk Factors ◽  
Facial Nerve ◽  
Retrospective Review ◽  
Categorical Variables ◽  
Facial Nerve Paralysis ◽  
Tumor Characteristics ◽  
Nerve Paralysis ◽  
Operative Duration ◽  
Parotid Surgery ◽  
Tertiary Center

Objective: Facial nerve paralysis is one of the most devastating complications after parotid gland surgery. We aimed to determine the prevalence and risk factors of facial palsy after parotidectomy.Methods: We performed a retrospective review of the data from 54 patients who underwent parotid surgery between 2004 and 2015 at a tertiary medical care center. The prevalence of facial nerve paralysis and possible risk factors (demographic characteristics, tumor characteristics, and operative factors) associated with postoperative paralysis were assessed. Categorical variables were evaluated using the Fisher’s exact test, and a two-tailed t-test was used to assess the associations between continuous and binary outcome variables.Results: The postparotidectomy prevalence of temporary and permanent facial nerve paralysis were 26% and 13%, respectively. Tumors involving both lobes were significantly associated with permanent facial nerve paralysis (p = .048). Long operative duration (> 164 minutes) was associated with both temporary and permanent facial nerve paralysis (p = .040).Conclusions: Operative factors such as operative duration and tumor characteristics such as bilobal involvement increased the risk of postparotidectomy facial nerve paralysis. Such factors should be considered to reduce the risk of palsy in patients undergoing parotidectomy.

Cervical necrotizing fasciitis with facial nerve paralysis

2004 ◽  
Vol 118 (7) ◽  
pp. 573-575 ◽  
Author(s):  
Amed Al-Ammar ◽  
Suhail Maqbool Mir
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Facial Nerve ◽  
Necrotizing Fasciitis ◽  
Mortality Risk ◽  
Present Report ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
High Mortality Risk ◽  
Aggressive Management

Necrotizing fasciitis (NF) is a very aggressive infection with associated high mortality. Risk factors of acquiring this infection may include diabetes mellitus, surgery, trauma, and infection. This infection necessitates prompt recognition and aggressive management in order to avoid its unfavourable outcomes. Associated nerve paralysis may indicate the involvement of deeper tissue.The present report highlights a case of cervical NF that was complicated by facial nerve paralysis, a feature that has rarely been reported.

Recurrent benign pleomorphic adenoma of the parotid gland: Facial nerve identification and risk factors for facial nerve paralysis at re-operation

2019 ◽  
Vol 46 (5) ◽  
pp. 779-784 ◽  
Author(s):  
Tatsuro Kuriyama ◽  
Ryo Kawata ◽  
Masaaki Higashino ◽  
Shuji Nishikawa ◽  
Takaki Inui ◽  
...  
Keyword(s):  
Risk Factors ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Pleomorphic Adenoma ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Nerve Identification

scholarly journals Evaluation of Clinical Outcome in Traumatic Facial Nerve Paralysis

2021 ◽  
Author(s):  
Abhijit Shankar ◽  
Shibu George ◽  
Satheesh Somaraj
Keyword(s):  
Clinical Outcome ◽  
Facial Nerve ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Objective Evaluation ◽  
Facial Nerve Paralysis ◽  
Temporal Bone Fracture ◽  
Nerve Paralysis ◽  
Tertiary Center

Abstract Introduction The facial nerve is the most commonly paralyzed nerve in the human body, resulting in far-reaching functional, aesthetic and emotional concerns to the patient. Objective Evaluation of the clinical outcome of 47 patients with traumatic facial nerve paralyses, with respect to clinical recovery and audiological sequelae. Methods A descriptive longitudinal study was conducted over 24 months between January 2017 and December 2018 at a tertiary center with detailed clinical, topodiagnostic, audiometric and radiological evaluation and regular follow-up after discharge. Results Road traffic accidents constituted 82.98% of the trauma cases, out of which 76.60% were found to be under the influence of alcohol.Delayed facial paralysis was observed in 76.60% cases. Temporal bone fracture was reported in 89.36%, with otic capsule (OC) sparing fractures forming 91.49% of the cases. Topologically, the injury was mostly at the suprachordal region around the second genu. The majority of the patients (65%) attained full recovery of facial nerve function with conservative medical management. Audiometrically, 77.27% of the patients had hearing loss at the time of presentation, of which 64.71% were conductive in nature; 51.22% attained normal hearing at follow-up visits. Conclusion Early initiation of steroid therapy, concurrent eye care and physiotherapy are the cornerstones in the management of traumatic 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.

scholarly journals Malignant Mucoepidermoid Tumor Arising in the Accessory Parotid Gland: A Case Report

2003 ◽  
Vol 46 (2) ◽  
pp. 79-83 ◽  
Author(s):  
Demetrio Tamiolakis ◽  
Vasilios Thomaidis ◽  
Ioannis Tsamis ◽  
Theodoros Jivannakis ◽  
Ageliki Cheva ◽  
...  
Keyword(s):  
Case Report ◽  
Parotid Gland ◽  
Facial Nerve ◽  
Mucoepidermoid Carcinoma ◽  
Low Grade ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Parotid Neoplasm ◽  
Parotid Surgery ◽  
Accessory Parotid Gland

Purpose: The head and neck surgeon’s fascination with parotid surgery arises from the gland’s spectrum of histopathological presentations, as well as the diversity of its morphological features. A mass arising in the mid-cheek region may often be overlooked as a rare accessory lobe parotid neoplasm. This report serves to revisit the topic of accessory parotid gland neoplasms to emphasize proper management, particularly the surgical aspects, so that consequences of salivary fistula, facial nerve paralysis, and recurrence are avoided. Case report: We report a case of mucoepidermoid carcinoma which was assessed pre-operatively as arising from the accessory parotid gland of a 11-year-old female. She had complained of a painless and round mass of the left cheek for a duration of 12 months. Sialography, ultrasonography, CT scan and MRI were performed preoperatively. Sialography revealed a small duct separating from the Stensen’s duct. CT and MRI showed that the tumor with smooth outline was lying on the masseter muscle and detached from the main parotid gland. The preoperative diagnosis was an accessory parotid gland tumor. The tumor was removed without facial nerve injury via standard parotidectomy incision. The tumor was composed of mucous, intermediate and epidermoid cells. The pathological diagnosis was low-grade mucoepidermoid carcinoma. Conclusions: Accessory parotid gland neoplasms are rare and may present as innocuous extraparotid mid-cheek masses. A high index of suspicion, prudent diagnostic skills (including fine-needle aspiration [FNA] biopsy followed by computed tomography [CT] imaging), and scrupulous surgical approach (extended parotidectomy-style incision and limited peripheral nerve dissection when possible) are the keys to successful management of these lesions.

scholarly journals Temporal Bone and Cerebellopontine Angle Epidermoid Resulting in Facial Nerve Paralysis: Resection and Facial Nerve Coaptation

2018 ◽  
Vol 80 (S 03) ◽  
pp. S314-S315
Author(s):  
Alexander G. Bien ◽  
Christine S. Kim ◽  
Tyler J. Kenning
Keyword(s):  
Facial Nerve ◽  
Temporal Bone ◽  
Cerebellopontine Angle ◽  
Tumor Resection ◽  
Internal Auditory Canal ◽  
Semicircular Canals ◽  
Facial Nerve Paralysis ◽  
Nerve Paralysis ◽  
Tertiary Center ◽  
End To End

Objectives Demonstrate the utilization of a transcochlear approach for resection of an epidermoid involving the temporal bone and cerebellopontine angle (CPA) with end-to-end facial nerve coaptation. Designs Single case-based operative video. Setting Tertiary center with dedicated skull base team. Participants The patient is a 50-year-old left handed male with a history of a remote left Bell's palsy, left sudden sensorineural hearing loss, and a rapidly progressive facial nerve paralysis. His balance was impaired, and his videonystagmography showed a significant left sided peripheral vestibular weakness. Computed tomography (CT) scan showed an erosive lesion of his left temporal bone involving the cochlea and semicircular canals, and magnetic resonance imaging (MRI) showed a T2 hyperintense lesion with restricted diffusion and no enhancement on postcontrast T1 sequences. Main Outcome Measures Gross total resection of the epidermoid, recovery of facial nerve function, balance improvement. Results The patient underwent resection via a transcochlear approach. The tumor involved the epitympanum and eroded the semicircular canals, vestibule, and basal turn of the cochlea. Gross total tumor resection was attained. The facial nerve was isolated in the mastoid and tympanic segments, traced proximally to the geniculate ganglion, and then into the internal auditory canal (IAC). The nerve was discontinuous in the distal IAC and a reactive neuroma was resected. The facial nerve was mobilized and an end-to-end coaptation was performed in the CPA using a collagen tubule. The 3-month postoperative MRI showed no residual or recurrent disease. His postoperative balance was improved. Partial facial nerve recovery is not expected prior to 9 to 12 months.The link to the video can be found at: https://youtu.be/C6N8qPwBt2Y.

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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