Parotidectomy: A 17-Year Institutional Experience at a Rural Academic Medical Center

Maddox, Patrick Tate; Paydarfar, Joseph A.; Davies, Louise

doi:10.1177/000348941212100205

Cited by 15 publications

(17 citation statements)

References 12 publications

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“…14,29 In this study, the Clavien-Dindo classification system, validated and tested for interobserver variation, made it possible to uniformly classify the severity and nature of complications. 31,32 They show complication rates between 10% and 24% (excluding facial nerve paralysis), however, these results are difficult to compare to the results in this study because of the different nature of the pathology. 30 Studies on postoperative complications after parotid surgery is mostly performed on patients with benign lesions.…”

Section: Discussioncontrasting

confidence: 60%

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Predictors of postoperative complications and survival in patients with major salivary glands malignancies: A study highlighting the influence of age

et al. 2013

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Section: Discussioncontrasting

confidence: 60%

“…30 Studies on postoperative complications after parotid surgery is mostly performed on patients with benign lesions. 31,32 They show complication rates between 10% and 24% (excluding facial nerve paralysis), however, these results are difficult to compare to the results in this study because of the different nature of the pathology.…”

Section: Discussioncontrasting

confidence: 60%

Predictors of postoperative complications and survival in patients with major salivary glands malignancies: A study highlighting the influence of age

et al. 2013

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“…Sialocele was reported in 102 studies 10,14,15,17,23,25,33–36,38,39,41–44,46,48,50,51,56–62,64,66,67,69,70,72–77,79–85,87–90,92,95,96,98,100–103,106–108,110–116,118–121,125,128,135–138,141,144,146,147,150–169 reporting on 13,760 patients (Table I and Fig. 2C).…”

Section: Resultsmentioning

confidence: 97%

Minor Parotidectomy Complications: A Systematic Review

et al. 2020

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Objectives To report descriptive statistics for minor parotidectomy complications. Methods A systematic review was performed, selecting 235 studies for analysis. The incidence of complications was tabulated, and descriptive statistics calculated. Outlier studies, 1 standard deviation above the mean, were reexamined to determine potential causal factors for each complication. All studies were examined for statistically significant differences for any potential causal factor. Results The pooled incidence of minor complications reported were hematoma 2.9% (95% confidence interval [CI]: 2.4‐3.5), wound infection 2.3% (95% CI: 1.8‐2.9), sialocele 4.5% (95% CI: 3.5‐5.7), salivary fistula 3.1% (95% CI: 2.6‐3.7), flap necrosis 1.7% (95% CI: 1.1‐2.5), scar issues 3.6% (95% CI: 2.4‐5.4), numbness 33.9% (95% CI: 25.6‐43.4), and deformity 11.8 (95% CI: 6.9‐19.5). Implants result in more wound complications, such as hematoma, sialocele, or salivary fistula. Sialocele and salivary fistula appear more frequently after less extensive parotid surgery, whereas hematoma, wound infections, flap necrosis, and aesthetic considerations are worse with more extensive resections. Conclusions Minor parotidectomy complications are more frequent than generally assumed and related to certain factors that should be investigated. Laryngoscope, 131:571–579, 2021

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“…Some risk factors for facial nerve weakness after parotidectomy have been considered in the literature,[ 58 ] such as pathological entity, age, gender, and secondary surgery. A recent review of 334 patients conducted by Maddox et al, [ 59 ] they reported that malignant tumors have been considered as a risk factor associated with a higher incidence of postoperative nerve dysfunction. The malignant parotid tumors characterized by infiltrating of the neighboring structures such as facial nerve and skin, and metastasized to the neck lymph nodes.…”

Section: Discussionmentioning

confidence: 99%

Antegrade versus retrograde facial nerve dissection in benign parotid surgery: Is there a difference in postoperative outcomes? A meta-analysis

et al. 2018

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ObjectiveThe primary aim of this meta-analysis was to test the null hypothesis of no difference in facial nerve dysfunction in studies that compared classical antegrade facial nerve dissection (AFND) versus retrograde facial nerve dissection (RFND) during benign parotid surgery.MethodsA comprehensive search of PubMed, the Cochrane Central Register of Controlled Trials, Scopus, Google Scholar, Science Direct and relevant journals was undertaken up to June 27, 2018. Randomized controlled clinical trials (RCTs), controlled clinical trials (CCTs), and retrospective studies aimed at comparing the effect of AFND vs. RFND during parotidectomy were included. The outcome measures included facial nerve dysfunction, Frey’s syndrome, recurrence, silaocele, salivary fistula, operating time length of hospital stay, and estimated blood loss. Pooled risk ratio (RR) and weighted mean differences (MD) with 95% confidence intervals were calculated using either a fixed-effects or random-effects model.ResultsTen studies; four RCTs and five retrospective studies were included. There were 570 patients (319 in RFND group and 251 in AFND group). 481 patients in 9 studies reported the incidence rate of facial nerve dysfunction. No statistical significant difference was observed between both groups concerning the occurrence of transient or permanent facial nerve paralysis (p = 0.44 and 0.11 respectively). One out 10 studies reported the incidence rate of sialocele, however no statistical difference was observed between the two techniques. There was reduction in the operative time (19.30 min), amount of blood loss (25.08 ml) and amount of healthy salivary tissues removed (12.20 mm) in RFND compared with AFND.ConclusionsAccording to the results of the current review there is no evidence demonstrating a significant advantage of one approach over another, therefore, well-designed standardized RCTs are required.

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Parotidectomy: A 17-Year Institutional Experience at a Rural Academic Medical Center

Cited by 15 publications

References 12 publications

Predictors of postoperative complications and survival in patients with major salivary glands malignancies: A study highlighting the influence of age

Predictors of postoperative complications and survival in patients with major salivary glands malignancies: A study highlighting the influence of age

Minor Parotidectomy Complications: A Systematic Review

Antegrade versus retrograde facial nerve dissection in benign parotid surgery: Is there a difference in postoperative outcomes? A meta-analysis

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