Long‐term great auricular nerve morbidity after sacrifice during parotidectomy

Ryan, William R.; Fee, Willard E.

doi:10.1002/lary.20246

Cited by 44 publications

(51 citation statements)

References 18 publications

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“…Following inferior alveolar or great auricular nerve section, maximal recovery of light touch sensation has been shown to have occurred by eight 7 or 12 months. 4 Another study found that, following great auricular nerve sacrifice, the majority of recovery of pin prick sensitivity had occurred by six months. 5 Given that ours was a retrospective, questionnaire study, it was felt that patient responses might be too unreliable if the period of recollection was greater than a year.…”

Section: Methodsmentioning

confidence: 98%

“…However, it has been shown that patients' subjective questionnaire responses correlate well with calibrated anaesthesiometer testing. 4 In addition, the use of a questionnaire-based study enabled us to include a larger sample population without inconveniencing patients by requesting repeated attendance for objective testing. Following inferior alveolar or great auricular nerve section, maximal recovery of light touch sensation has been shown to have occurred by eight 7 or 12 months.…”

Section: Methodsmentioning

confidence: 99%

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Cutaneous sensory deficit following post-auricular incision

Frampton

Pringle

2011

J. Laryngol. Otol.

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Sixty-nine per cent of patients undergoing primary surgery experienced post-operative numbness. Twenty-six per cent had continued numbness after at least eight months' recovery, but only 3 per cent were constantly aware of the deficit. Of those with an ongoing deficit, 78 per cent felt there had been a reduction in the severity, and 67 per cent in the area size, over time. Recovery appeared to be slightly worse in revision cases.

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Section: Methodsmentioning

confidence: 98%

Section: Methodsmentioning

confidence: 99%

Cutaneous sensory deficit following post-auricular incision

Frampton

Pringle

2011

J. Laryngol. Otol.

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“…It was also reported that it deteriorated most substantially until 3 months after the surgery; that from 6 months after the surgery, the sensation returned to a level comparable to that prior to the surgery; and that 1 year after the surgery, no great differences between the two groups were detected [8]. In addition, in other studies, it was reported that in the cases where there was injury to the main branch of the great auricular nerve, sensory loss was persistent for 2 years, and that in the cases where the posterior branch of the great auricular nerve was preserved, the sensation was recovered to a level comparable to the previous one from approximately 6 months to 1 year after the surgery [15][16][17][18]. In the present study, postsurgical sensory loss was developed in area 5 in all the patients, and from 3 months after the surgery, it returned to the presurgical level in most of the cases.…”

Section: Discussionmentioning

confidence: 91%

Sensation recovery of auricle following chronic ear surgery by retroauricular incision

Kang

Ahn

Jeon

et al. 2011

Eur Arch Otorhinolaryngol

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The aim of this prospective analysis was to objectify and quantify the sensory loss in the auricular area that occurs following surgery for chronic otitis media or cholesteatoma, and to assess the exact recovery time of the auricular sensation. Till now, no study has yet been conducted on the sensory loss that is developed after retroauricular incision is performed for chronic ear surgery. Forty-eight patients underwent surgery via retroauricular incision for chronic otitis media or for chronic otitis media or cholesteatoma between March 2009 and January 2010. The skin around the auricle was divided into six areas. The sensation of each area was assessed before the surgery and 3 days, 7 days, 1 month, 3 months, and 6 months after the surgery, using the Semmes-Weinstein monofilaments. The patients were also asked to record the sensation that they felt using the visual analog scale (VAS). In the objective sensory assessment, only area 5, which corresponds to the retroauricular area, showed significant sensory loss. Three months after the surgery, the sensation was recovered to a level comparable to that before the surgery in most of the patients. The mean subjective VAS score was 10 prior to the surgery, 8.56 (± 1.08) 3 months after the surgery, and 9.32 (± 0.74) 6 months after the surgery, respectively. In conclusion, following chronic ear surgery, the sensation of the auricle was recovered to the previous level within 3 months. Therefore, patients who are to undergo retroauricular incision should be informed that they will experience temporary sensory loss for approximately 3 months after the surgery.

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“…The anterior branch provides sensory innervation to the lateral face and mandible, and the posterior branch provides innervation to the mastoid and lower ear. 7,8 Extensions of the terminal branches may be found at an average of 2.6 cm caudal to the lobule insertion, again raising the possibility of a partial nerve injury.…”

Section: Discussionmentioning

confidence: 97%