Thirteen years’ experience with superficial partial parotidectomy as treatment for benign parotid tumours

García‐Purriños, Francisco

doi:10.1016/s2173-5735(11)70002-3

Cited by 3 publications

(9 citation statements)

References 12 publications

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“…Table 1 summarizes the included studies. There were 17 articles published on 15 studies; a total of 313 patients with iatrogenic FP were included in the systematic review. One study resulted in 3 articles, and each was assessed for unique patient data for this systematic review.…”

Section: Resultsmentioning

confidence: 99%

“…The studies originated from all over the world, published from 1991 to 2019. Four studies were RCTs, 7 studies were retrospective cohort studies, 3 studies were case series, and 1 was a prospective cohort study …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…eTable 1 in the Supplement (listing 11 studies) and eTable 2 in the Supplement (listing 6 studies) summarize the study quality assessment. Eleven observational studies were assessed with the MINORS criteria. The maximum sum scores for noncomparative observational studies and for comparative observational studies are 16 and 24, respectively.…”

Section: Resultsmentioning

confidence: 99%

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Physical Therapy for Iatrogenic Facial Paralysis

Wamkpah

Jeanpierre

Lieu

et al. 2020

JAMA Otolaryngol Head Neck Surg

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acial paralysis (FP) secondary to surgery has a reported incidence of 11% to 40%. 1 Rates of iatrogenic FP vary by surgery type: oral-maxillofacial surgery is the most common (40%), followed by head and neck surgery (25%), otologic surgery (17%), and cosmetic surgery (11%). 1 For patients, FP is associated with substantial functional, emotional, and financial consequences. [2][3][4] Given its detrimental impact, iatrogenic FP is an important complication for otolaryngologists, plastic surgeons, oral surgeons, and dermatologists to manage. Most iatrogenic FP is expected to be temporary 5 and is managed by watchful waiting.Treatment options to encourage facial function recovery are varied, including medical therapy (ie, corticosteroids) and physical therapy (PT). 5 Physical therapy is advantageous because it is noninvasive and encourages patients to actively participate in their recovery. 6 However, there is a paucity of literature on the effectiveness of PT. Although a 2011 Cochrane review by Teixeira et al 7 found no high-quality evidence supporting the benefit or harm of PT for idiopathic FP, studies of PT for iatrogenic FP are limited to a few randomized controlled trials (RCTs) 5,8 and observational studies. 9 Iatrogenic FP can occur despite meticulous surgical dissection and intraoperative confirmation of facial nerve continuity likely because of local manipulation. 1 Therefore, iatrogenic FP represents a pathogenesis unique from idiopathic FP, which is often stated to result from inflammation after viral infection. 7 The primary objective of this systematic review was to investigate whether noninvasive PT compared with no PT or other intervention improves facial nerve outcomes in adults with iatrogenic FP. Methods Study DesignThe Preferred Reporting Items for Systematic Reviews and Metaanalyses (PRISMA) 10 guidelines were followed in this systematic IMPORTANCE Facial paralysis (FP) after surgery has substantial functional, emotional, and financial consequences. Most iatrogenic FP is managed by watchful waiting, with the expectation of facial function recovery. A potential treatment is physical therapy (PT).OBJECTIVE To investigate whether noninvasive PT compared with no PT or other intervention improves facial nerve outcomes in adults with iatrogenic FP.LP;&-2QEVIDENCE REVIEW Patients with noniatrogenic FP, facial reanimation surgery, and invasive adjunctive treatments (acupuncture or botulinum toxin injection) were excluded. A systematic review was conducted for records discussing iatrogenic FP and PT; a search for these records was performed using

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Physical Therapy for Iatrogenic Facial Paralysis

Wamkpah

Jeanpierre

Lieu

et al. 2020

JAMA Otolaryngol Head Neck Surg

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“…It is not available in our setup, but we feel that if basic anatomical landmarks are sought and dissection carried patiently under direct vision, the final outcome is quite acceptable. A large study involving 63 patients with benign tumors arising from the superficial lobe of the parotid also concludes that lack of facial nerve monitoring should not be considered as a contraindication of surgery 8 .  Frey's Syndrome -This syndrome is characterized by sweating in front of the ears whenever the patient eats.…”

Section: Discussionmentioning

confidence: 99%

Superficial Parotidectomy – Our Experience

Chatterji¹,

Lahiri²

2013

jemds

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Pleomorphic adenoma is the commonest tumor of the parotid gland and mostly arises from its superficial lobe. The best operation for this tumor is superficial parotidectomy. In clinical practice this procedure can be performed by general surgeons, oto-rhinolaryngologists as well as maxillofacial surgeons. Whatever the specialty, the surgeon must be well acquainted with the course of the facial nerve for good surgical results. Also of equal importance is the ability to remove the tumor with a wide healthy margin in order to reduce the chance of local recurrence. We performed a study at K.P.C. Medical College & Hospital where 19 cases were operated in a period of 30 months with the aim to study the complications of surgery and chance of recurrence of the tumor on follow up. Cases were selected from patients attending the OPD with complaint of swelling of the parotid region. The diagnosis was confirmed pre-operatively by FNAC and USG. After routine work-up, patients were operated by a standard procedure and the surgical specimen was sent for histopathological examination in each case. The results have been analyzed in detail and also compared with the available literature. In conclusion we find that our results compare well with other series.

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Comparison of functional change in parotid gland after surgical excision of pleomorphic adenoma by two different types of parotidectomy

Hong

Pei

et al. 2016

Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology

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Thirteen years’ experience with superficial partial parotidectomy as treatment for benign parotid tumours

Cited by 3 publications

References 12 publications

Physical Therapy for Iatrogenic Facial Paralysis

Physical Therapy for Iatrogenic Facial Paralysis

Superficial Parotidectomy – Our Experience

Comparison of functional change in parotid gland after surgical excision of pleomorphic adenoma by two different types of parotidectomy

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