Clinical outcomes and cost-effectiveness of superficial parotidectomy versus extracapsular dissection of the parotid gland: a single-centre retrospective study of 161 patients

Vanroose, R; Scheerlinck, Jan; Coopman, Renaat; Nout, Erik

doi:10.1016/j.ijom.2022.05.001

Cited by 3 publications

(11 citation statements)

References 26 publications

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“…However, these risks have been previously assessed in prior studies utilizing retrospective case series, without much disagreement. Prior studies either identified no significant differences in rates of these complications between ECD and other surgical techniques, [13][14][15][16][17] or found a lower risk of these complications, particularly postoperative facial nerve dysfunction, with ECD. 9,18-20 Furthermore, there is a clear consensus in the existing literature that there is no increased risk of tumor recurrence seen with ECD compared to more extensive forms of SP.…”

Section: Discussionmentioning

confidence: 97%

“…22 Additionally a recent cohort study on 161 patients found decreased operative time and total cost associated with ECD. 17 It is widely accepted that increased operative time is associated with increased risk of adverse events. This was effectively demonstrated by a systematic review and meta-analysis incorporating 66 studies spanning a variety of surgical specialties (including otolaryngology, but predominately general and urological surgery), that revealed the likelihood of experiencing a complication nearly doubled with operative time exceeding 2 hours.…”

Section: Discussionmentioning

confidence: 99%

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NSQIP Outcomes of Superficial Parotidectomy: The Case for Extracapsular Dissection

McWilliams,

Reiter

2024

Preprint

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Objectives: To compare outcomes of patients with benign neoplasms undergoing superficial parotidectomy, with or without facial nerve dissection, the latter a surrogate for extracapsular dissection technique. Methods: Retrospective review of the American College of Surgeons National Surgical Quality Improvement Project (NSQIP) database providing 30-day postoperative outcome data from 676 sites nationwide. Inclusion criteria were primary diagnosis of benign salivary neoplasm, age 18-89 years, primary procedure superficial parotidectomy either with (CPT 42415 (SPwFND)) or without (CPT 42410 (SPwoFND)) facial nerve dissection between 2012-2019. We analyzed demographics, operative time, length of stay, perioperative complications, readmission, and reoperation rates between the two procedure groups. NSQIP contained no information on postoperative facial paralysis or estimated blood loss. Results: In total, 2651 patients underwent SPwFND while 764 underwent SPwoFND. Operative time was shorter (111.59 +/- 63.417) for SPwoFND than for SPwFND (135.05 +/- 64.313, p<;0.0001). Fewer patients undergoing SPwoFND required overnight stay than those undergoing SPwFND (41.5% vs 59.4%, p<0.001). There were no significant differences between rates of reoperation, unplanned readmission, or perioperative complications between the groups. Conclusion: SPwoFND nerve dissection had a shorter operative time and led to fewer postoperative overnight stays than SPwFND, with no significant differences in rates of reoperation, unplanned readmission, or perioperative complications. This suggests that for appropriately selected patients, SPwoFND may be a comparable treatment option with the benefit of lower resource utilization than SPwFND.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

NSQIP Outcomes of Superficial Parotidectomy: The Case for Extracapsular Dissection

McWilliams,

Reiter

2024

Preprint

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“…Las neoplasias de la glándula parótida representan el 2% de los tumores del área de cabeza y cuello, además corresponden al 80% de aquellas surgidas en las glándulas salivales (1)(2)(3)(4) . El tratamiento operatorio representa la principal opción terapéutica (5,6) . El procedimiento quirúrgico está determinado por varios retos a afrontar durante la cirugía.…”

Section: Introductionunclassified

“…Ambos procedimientos quirúrgicos simbolizan el parámetro de comparación con otras opciones terapéuticas (2,7) . Nuevas alternativas menos invasivas para tumores benignos han surgido desde el inicio del nuevo milenio como la parotidectomía superficial parcial o la disección extracapsular (5,6,9) . En el caso de los tumores malignos son referidas otras intervenciones quirúrgicas según la extensión del procedimiento, el grado de radicalidad, y el sacrificio de estructuras anatómicas y su función.…”

Section: Introductionunclassified

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Tratamiento quirúrgico de las neoplasias en la glándula parótida

Valls Puig,

Blanco,

Carmona

et al. 2024

Rev Digit Postgrado

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Caracterizar a pacientes con diagnóstico de neoplasias en glándula parótida, según el procedimiento quirúrgico efectuado, la técnica de identificación del nervio facial, y la relación de los hallazgos patológicos definitivos con los estudios de muestreo histológico preoperatorio. Métodos: Estudio multidisciplinario, multiinstitucional, descriptivo, cuantitativo y retrospectivo de 26 pacientes con diagnóstico de neoplasias en glándula parótida entre el año 2018 al 2023. Se dividieron de acuerdo a la histología en benignas y malignas. Las distintas frecuencias fueron expresadas en número y porcentaje. Se calculó la sensibilidad y especificidad de la punción con aguja fina como prueba de muestreo histológico. Resultados: Categoría benigna: 16 pacientes (61,5% %). El resto de la serie, diez pacientes, de la categoría de tumores malignos (38,5%). La lobectomía superficial parotídea fue el procedimiento más frecuente en las neoplasias benignas (75%) y malignas (60%). La técnica anterógrada de identificación del nervio facial fue la más común. Entre 25% a 30% de parálisis temporales en ambos grupos. La sensibilidad y especificidad de la punción con aguja fina para el diagnóstico de neoplasias benignas fue de 92,3% y 50%, el porcentaje de falsos negativos de 5,8%. Conclusión: La lobectomía superficial de la glándula parótida y la técnica anterógrada representaron el procedimiento quirúrgico y la técnica de identificación del nervio facial más frecuentemente realizado en ambas categorías. La baja especificidad de la punción con aguja fina y el porcentaje de falsos negativos representaron algunas de las dificultades a afrontar para decidir la extensión del tratamiento quirúrgico.

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Prognostic factors for development of distant metastases in surgically treated high-grade salivary gland carcinomas: results of retrospective single center study with 213 patients

Brajkovic,

Kiralj,

Ilic

et al. 2024

Eur Arch Otorhinolaryngol

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Clinical outcomes and cost-effectiveness of superficial parotidectomy versus extracapsular dissection of the parotid gland: a single-centre retrospective study of 161 patients

Cited by 3 publications

References 26 publications

NSQIP Outcomes of Superficial Parotidectomy: The Case for Extracapsular Dissection

NSQIP Outcomes of Superficial Parotidectomy: The Case for Extracapsular Dissection

Tratamiento quirúrgico de las neoplasias en la glándula parótida

Prognostic factors for development of distant metastases in surgically treated high-grade salivary gland carcinomas: results of retrospective single center study with 213 patients

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