Complications of parotid surgery: The need for selectivity

Abstract

The morbidity rate following 112 operations on the parotid gland is reported. Facial nerve palsy (temporary, 38 per cent; permanent, 9 per cent) and Frey's syndrome (11 per cent) were common following superficial parotidectomy. For pleomorphic adenoma and malignant lesions this procedure is justified. Benign conditions, which can be diagnosed preoperatively, should be treated by more limited surgery which has a lower complication rate.

Prevalência da Síndrome de Frey após parotidectomia parcial

“…We are still waiting to see a consensus about its incidence, for in the publications we studied the incidence rate varied from 2 to 80% 7 .…”

“…This may be related to the surgical technique employed in parotidectomies, because we see no report of FS in enucleating procedures. In cases of superficial parotidectomies, there are publications describing 4.4% rates, however such fact may be related to a lack of direct interviewing the patient, because the study is only descriptive 7,9 . Other reports, in which questionnaires and iodine tests were used to diagnose FS, show results varying from 36% to 50% 10,11,12 .…”

Pattern of Salivary Gland Tumours in a Tertiary Care Hospital in North Eastern India

“…Owen ERTC et al reported most common complication to be facial nerve palsy (38%) followed by Frey's syndrome (11%) and fistula (2%). 10 …”

Fine Needle Aspiration Cytology in Salivary Gland Swellings- A Cross Sectional Study in a Tertiary Care Centre

“…The instruments for aspiration consisted of a 10 ml disposable syringe filled with a 22G or 23G needle [27][28][29][30] . The skin at the site was wiped with an antiseptic and the suspected salivary gland swelling was held with one hand in a favourable position.…”