Post Parotidectomy Quality of Life in Patients with Benign Parotid Neoplasm: A Prospective Study.
POI-8
PPFNGS
Parotidectomy
Parotidectomy outcome inventory-8
Journal
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
ISSN: 2231-3796
Titre abrégé: Indian J Otolaryngol Head Neck Surg
Pays: India
ID NLM: 9422551
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
13
12
2017
accepted:
17
03
2018
entrez:
20
11
2019
pubmed:
20
11
2019
medline:
20
11
2019
Statut:
ppublish
Résumé
Parotid tumours are not uncommon. The management is surgical for benign and malignant parotid neoplasm. Due to the location of parotid gland and its intricate relationship with facial nerve, cosmetic and functional outcomes after parotid surgery are extremely important. Objectives of the study were to analyse facial nerve functions with emphasis on the quality of life of patients undergoing surgery for parotid neoplasm. A prospective study was conducted on patients presented with parotid neoplasm and undergone parotid surgery. Patient with malignant neoplasm were excluded. 30 patients with benign parotid neoplasm in final histopathology were included in the study. Post operative assessment of facial nerve was done using postparotidectomy facial nerve grading system. Symptom-specific QOL was assessed with the parotidectomy outcome inventory-8. Aesthetic outcome was evaluated with an ordinal scale. Posterior belly of digastric muscle and tragal pointer were the commonest landmark used for facial nerve identification. Temporary facial nerve dysfunction was present in six (20%) patients with marginal mandibular branch most commonly involved. 96% of the female patients and 91% of the male patients rated the cosmetic result as good or very good. A statistically significant difference is noted between superficial parotidectomy and total Parotidectomy for cosmetic outcome and sensory impairment. We noted that changed appearance due to resection of the parotid gland and scar and sensory impairment in the area affect the quality of life of patients and such affect are more after total conservative parotidectomy.
Identifiants
pubmed: 31741987
doi: 10.1007/s12070-018-1312-9
pii: 1312
pmc: PMC6848430
doi:
Types de publication
Journal Article
Langues
eng
Pagination
363-368Informations de copyright
© Association of Otolaryngologists of India 2018.
Déclaration de conflit d'intérêts
Conflict of interestThe authors declare that they have no conflict of interest.
Références
Laryngoscope. 1993 Apr;103(4 Pt 1):386-8
pubmed: 8459746
J Oral Maxillofac Surg. 2011 Apr;69(4):1235-41
pubmed: 20708323
Arch Otolaryngol Head Neck Surg. 2001 Jul;127(7):884-8
pubmed: 11448367
Otolaryngol Clin North Am. 2016 Apr;49(2):327-42
pubmed: 27040584
Indian J Otolaryngol Head Neck Surg. 2013 Jul;65(Suppl 1):105-11
pubmed: 24427625
Head Neck Surg. 1986 Jan-Feb;8(3):177-84
pubmed: 3744850
Laryngoscope. 2010 Mar;120(3):484-90
pubmed: 20112414
Laryngoscope. 2010 Apr;120(4):724-30
pubmed: 20205175
Am J Otolaryngol. 2008 Mar-Apr;29(2):94-100
pubmed: 18314019
Br J Surg. 2007 Sep;94(9):1081-7
pubmed: 17701949
Otolaryngol Clin North Am. 2016 Apr;49(2):415-24
pubmed: 26895698
Laryngoscope. 2005 Feb;115(2):287-91
pubmed: 15689752
Laryngoscope. 2012 Jun;122(6):1254-61
pubmed: 22549791
Int J Oral Maxillofac Surg. 2008 Apr;37(4):345-9
pubmed: 18262762
Curr Opin Otolaryngol Head Neck Surg. 2004 Apr;12(2):69-70
pubmed: 15167039
HNO. 2009 Sep;57(9):884-8
pubmed: 19688176
Eur Arch Otorhinolaryngol. 2015 Sep;272(9):2445-50
pubmed: 25005433
Otolaryngol Clin North Am. 2016 Apr;49(2):395-413
pubmed: 27040586
ANZ J Surg. 2004 Jul;74(7):563-8
pubmed: 15230791