Post Parotidectomy Quality of Life in Patients with Benign Parotid Neoplasm: A Prospective Study

Chaudhary, Vipul Kumar; Rawat, Digvijay Singh; Tailor, Manish; Verma, Prerna; Aseri, Yogesh; Singh, Baldeep

doi:10.1007/s12070-018-1312-9

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…Postoperative sequelae, such as facial nerve dysfunction, facial depression, and gustatory sweating after parotid surgery may affect the quality of life of patients (11)(12)(13)(14). As only 55 patients were enrolled in this study and the follow-up period was not enough, it was not possible to generalize our results in the aspect of postoperative complications (15).…”

Section: Discussionmentioning

confidence: 96%

Real impact of surgical robotic system for precision surgery of parotidectomy: retroauricular parotidectomy using da Vinci surgical system

Park¹,

Kim²,

Kang³

et al. 2020

Gland Surg

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Background: We performed robotic parotidectomy with or without robotic neck dissection via a retroauricular approach in patients with parotid benign and malignant tumors and analyzed treatment outcomes of the patients to evaluate the safety and feasibility of robotic parotidectomy.Methods: Between January 2017 and July 2018, 53 patients received robotic parotidectomy with/without robotic neck dissection through a remote access retroauricular incision without a preauricular incision.Results: All operations were successfully performed in all patients without significant perioperative complications or tumor spillage. Tumors were located in the superficial lobe of the parotid gland in 40 patients, and the remaining 13 tumors were located in the deep lobe of the parotid gland. Postoperative pathologic examination revealed benign tumor in 32 patients and malignant tumors in 18 patients. The mean operation time was 226 minutes in patients who underwent only parotidectomy and 375 minutes in patients who underwent parotidectomy with robotic neck dissection. The average amount of bleeding was 23 mL, and the amount of drainage after operation averaged 171 mL. The average length of hospital stay was 6 days. Postoperative complications were limited to transient facial paralysis in three patients, all of which resolved within 1 month. All patients were satisfied with their cosmetic results at 6 months after operation.Conclusions: Robotic parotidectomy with/without robotic neck dissection through a retroauricular approach was a feasible and safe technique in patients with parotid benign and malignant tumor. Specifically, we found it to be helpful in young patients with malignant parotid tumors who should receive cervical lymphadenectomy and parotidectomy, because it does not leave a visible scar on the face or neck. In the future, long-term follow-up will be necessary to validate its oncologic safety and functional outcomes.

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Section: Discussionmentioning

confidence: 96%

Real impact of surgical robotic system for precision surgery of parotidectomy: retroauricular parotidectomy using da Vinci surgical system

Park¹,

Kim²,

Kang³

et al. 2020

Gland Surg

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“…Es [50]. Auch in einer deutschen Arbeit an 196 Patienten lagen alle POI-Subskalen nach verschiedenen Parotisoperationen immer bei > 80 (bei sehr variablem postoperativen Untersuchungszeitraum postopera-tiv).…”

Section: Lebensqualität Nach Operation Von Speicheldrüsentumorenunclassified

Qualität der Therapie von Speicheldrüsenerkrankungen

Guntinas‐Lichius

2020

Laryngo-Rhino-Otol

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ZusammenfassungDie Behandlung von Speicheldrüsenerkrankungen stellt ein wichtiges Segment der HNO-Heilkunde dar. Von der Vielzahl von Speicheldrüsenerkrankungen sieht der einzelne HNO-Arzt allerdings möglicherweise nur wenige Fälle pro Jahr und chirurgische oder endoskopisch minimal-invasive Therapiekonzepte spielen eine wichtige Rolle. Daher kann der Erkenntnisgewinn nicht nur von prospektiven klinischen Studien getragen werden, sondern heute im Wesentlichen durch Meta-Analysen und potentiell auch von Registerdaten. Während eine Vielzahl guter Indikatoren vorhanden ist, um die Funktion der erkrankten Speicheldrüse und deren Besserung unter Therapie zu messen, sind Patient-reported outcome measures (PROMs) bislang nicht ausreichend entwickelt worden. Es ist zu fordern, dass diese Indikatoren auch konsequent in klinischen Studien eingesetzt werden. Perspektivisch könnten dieselben Indikatoren auch für Qualitätskontrollen in der ambulanten und stationären Routine angewandt werden. Die Rahmenbedingungen für einen qualitativ hochwertigen Wissenserwerb sind durch die HNO-Facharzt-Ausbildung, die Verpflichtung der Weiterbildung und durch zertifizierte Speicheldrüsen-Kurse prinzipiell sehr gut, die Vorgaben für spezifische Qualitätsstandards für die Behandlung von Patienten sind jedoch wenig ausgearbeitet. In Abgrenzung zu anderen Fachgebieten, die sich mit Speicheldrüsenerkrankungen beschäftigen, sollte die HNO-Heilkunde Standards mit hoher Qualitätsforderung für die Behandlung von Patienten mit Speicheldrüsenerkrankungen entwickeln.

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“…Literature available on the patient's perspective has shown that sensory impairment, facial nerve dysfunction, Frey's syndrome and cosmetic outcomes impact quality of life the most, leading to significant morbidity. [3][4][5][6] Thus, the decision-making process and consent for parotidectomy need to be supportive, clear, accurate and well-informed. 7 The internet, with its wealth of information, has undoubtedly been a source of information for patients.…”

Section: Introductionmentioning

confidence: 99%

Readability and quality of online patient health information on parotidectomy

Tan

Yap

2023

J. Laryngol. Otol.

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Objective Complications of parotidectomy can have a massive impact on patients’ quality of life. This study aimed to evaluate the readability and quality of online health information on parotidectomy. Method The search terms ‘parotidectomy’, ‘parotid surgery’, ‘parotidectomy patient information’ and ‘parotid surgery patient information’ were parsed through three popular search engines. Results The websites were analysed using readability scores of the Flesch Reading Ease test and the Gunning Fog Index. The DISCERN instrument was used to assess quality and reliability. The average Flesch Reading Ease score was 50.2 ± 9.0, indicating that the materials were fairly difficult to read, the Gunning Fog Index score showed that the patient health information was suitable for an individual above 12th grade level, and the DISCERN score indicated that the online patient health information had fair quality. The Kruskal–Wallis test showed a significant difference in Flesch Reading Ease and DISCERN tool scores according to website category (p < 0.05). Conclusion Current online patient health information on parotidectomy is too difficult for the public to understand, and it exceeds the reading levels recommended by Health Education England and the American Medical Association.

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Post Parotidectomy Quality of Life in Patients with Benign Parotid Neoplasm: A Prospective Study

Cited by 5 publications

References 18 publications

Real impact of surgical robotic system for precision surgery of parotidectomy: retroauricular parotidectomy using da Vinci surgical system

Real impact of surgical robotic system for precision surgery of parotidectomy: retroauricular parotidectomy using da Vinci surgical system

Qualität der Therapie von Speicheldrüsenerkrankungen

Readability and quality of online patient health information on parotidectomy

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