The effects of residual parotid volume on symptom-specific quality of life and complications in patients undergoing parotid surgery

Aydın, Şükrü; Erbay, Mehmet Fatih; Kızılay, Ahmet

doi:10.1007/s00405-021-06742-4

Cited by 4 publications

(4 citation statements)

References 23 publications

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“…A key goal of parotid surgery to treat benign lesions is to remove the tumour, minimise morbidity and maintain patients’ QoL. In the literature, QoL is scaled corresponding to the type of surgery, although the width of parotid gland surgery differs for each patient according to tumour location, size of the tumour, course of the facial nerve and surgeon’s preference 15 . Partial superficial parotidectomy was associated with fewer complications, especially temporary facial paralysis and Frey’s syndrome, with a recurrence rate comparable to that of superficial parotidectomy 16 .…”

Section: Discussionmentioning

confidence: 99%

“…In our study, only benign parotid tumours were included, 3-4 selected surgeons performed the operations and the majority of parotidectomies were superficial or partial superficial. To compare functional and aesthetic results, regardless of the type of surgery, Aydin et al established the amount of residual parotid tissue remaining after parotid surgery as a new objective parameter and reported that the maximum amount of disease-free tissue of the parotid gland should be left in place to increase patients’ QoL as well as to minimise complications 15 . Generally, only few studies have addressed the patients’ perspective on HRQoL 7 , 10-12 , 15 , 17-19 .…”

Section: Discussionmentioning

confidence: 99%

“…To compare functional and aesthetic results, regardless of the type of surgery, Aydin et al established the amount of residual parotid tissue remaining after parotid surgery as a new objective parameter and reported that the maximum amount of disease-free tissue of the parotid gland should be left in place to increase patients’ QoL as well as to minimise complications 15 . Generally, only few studies have addressed the patients’ perspective on HRQoL 7 , 10-12 , 15 , 17-19 . Most of these have only reported short-term results, i.e., from 6 months to 1-2 years after surgery, and have used different symptom-specific QoL assessments.…”

Section: Discussionmentioning

confidence: 99%

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Long-term outcomes and quality of life following parotidectomy for benign disease

Plath

Sand

Cavaliere

et al. 2022

Acta Otorhinolaryngol Ital

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SUMMARY Objective Parotidectomy worsens quality of life (QoL) in the short-term, but the long-term impact is unknown. In this study, we analysed the long-term effects of parotidectomy on QoL. Methods In this prospective long-term follow-up study, participants were divided into three groups: short-term (ST) follow-up of six weeks, long-term (LT) follow-up of 13 years and short- and long-term (SLT) follow-up. QoL was assessed using the Parotidectomy Outcome Inventory (POI-8). Parotidectomies were classified based on whether the great auricular nerve (GAN) had been preserved or sacrificed. Results In total, 164 observations were analysed, 74 in the LT group, 57 in the ST group and 33 in the SLT group. Hypoaesthesia was a major problem and facial palsy was a minor problem. Pain (p < 0.01) and hypoaesthesia (p < 0.001) were significantly lower after 13 years compared with after six weeks, and QoL was higher after 13 years compared with after six weeks (p = 0.04). The disease-specific impairment rate decreased from 70% at short-term follow-up to 30% at long-term follow-up. Removal of the GAN was associated with hypoaesthesia in the ST group (p = 0.028). Conclusions Hypoaesthesia has a long-term impact on the QoL, and this should be emphasised during preoperative discussions.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Long-term outcomes and quality of life following parotidectomy for benign disease

Plath

Sand

Cavaliere

et al. 2022

Acta Otorhinolaryngol Ital

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“…Parotid gland flap refers to the partial removal of the parotid gland during operation, retaining the function of the remaining parotid gland, and resetting the remaining parotid gland after full dissociation [51]. And the parotid masseter fascia is reset and reconstructed, to prevent the occurrence of taste sweating syndrome to a certain extent.…”

Section: Prevention Of Gustatory Sweating Syndromementioning

confidence: 99%

Management Strategies of Benign Parotid Tumors

Li¹,

Ren²,

Zhi³

2022

J Oncology

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Background: Parotid gland tumor is the most common salivary gland tumors. Benign tumors account for about 80% of parotid gland tumors. Surgical excision is the treatment of choice in most cases when treating benign parotid tumors. However, due to the special anatomical location of the parotid gland and the different pathology of the tumor, there are many complications after parotid gland tumor operation, which also seriously affects patients quality of life.

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Quality of Life Outcomes for Parotid Malignancies

Tang,

Li,

Scheff

et al. 2024

The Laryngoscope

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BackgroundThis study describes patient‐reported outcome measures (PROMs) and associated factors in patients who underwent surgery for malignant parotid tumors (MPT).MethodsThis is a retrospective study of all surgically treated MPT patients in a multidisciplinary head and neck cancer (HNC) survivorship clinic (2017–2023). PROMs included University of Washington Quality of Life Questionnaire (UW‐QOL), Eating Assessment Tool (EAT‐10), Patient Health Questionnaire (PHQ‐8), Generalized Anxiety Disorder (GAD‐7), Neck Disability Index (NDI), and Insomnia Severity Index. Multivariable regression analysis was used to investigate clinical predictors associated with PROMs.ResultsIn 62 MPT patients, the prevalence of clinically relevant dysphagia symptoms (EAT‐10), elevated symptoms of depression (PHQ‐8), moderate/severe symptoms of anxiety (GAD‐7), moderate/severe neck pain with activities of daily living (NDI), and moderate/severe symptoms of insomnia at last follow‐up was 32.3%, 15.5%, 7.1%, 17.7%, and 7.2%, respectively. Nonparametric one‐sided test revealed that patients treated with adjuvant CRT had significantly worse physical QOL, social‐emotional QOL, and swallowing scores than patients treated with surgery alone (p = 0.01, p = 0.02, p = 0.03, respectively); that patients treated with surgery and adjuvant RT had significantly worse physical QOL and social‐emotional QOL than patients treated with surgery alone (p < 0.01, p = 0.01, respectively) and that patients treated with surgery and adjuvant CRT had significantly worse swallowing and neck pain than patients treated with surgery and adjuvant RT (p = 0.03, p = 0.05, respectively).ConclusionsIn patients with surgically treated MPT, adjuvant CRT and RT were associated with worse PROMs.Level of Evidence4 Laryngoscope, 2024

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The effects of residual parotid volume on symptom-specific quality of life and complications in patients undergoing parotid surgery

Cited by 4 publications

References 23 publications

Long-term outcomes and quality of life following parotidectomy for benign disease

Long-term outcomes and quality of life following parotidectomy for benign disease

Management Strategies of Benign Parotid Tumors

Quality of Life Outcomes for Parotid Malignancies

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