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Outcomes and symptom-specific quality of life after microscopic parotidectomy: a prospective study

Published online by Cambridge University Press:  25 October 2024

A. Bhardwaj Open the ORCID record for A. Bhardwaj [Opens in a new window] ,
P.S. Suji Open the ORCID record for P.S. Suji [Opens in a new window] ,
R. Sood ,
M. Malhotra ,
M. Priya ,
S. Varshney ,
Akash Varshney  and
Subrata Nag
A. Bhardwaj
Affiliation:
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
P.S. Suji*
Affiliation:
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Deoghar, India
R. Sood
Affiliation:
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Delhi, India
M. Malhotra
Affiliation:
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
M. Priya
Affiliation:
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
S. Varshney
Affiliation:
Department of Otorhinolaryngology, All India Institute of Medical Sciences, Deoghar, India
Akash Varshney
Affiliation:
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
Subrata Nag
Affiliation:
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Rishikesh, India
*
Corresponding author: P.S. Suji; Email: ps.sujips.suji@gmail.com
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Abstract

Objectives

Assess the post-operative complications of microscopic parotidectomy and its impact on quality of life.

Methods

Thirty patients were included in this prospective study. Three to six months post-surgery, patients underwent assessments for Frey’s syndrome by Minor test, aesthesiometer test, facial nerve function and Quality of Life questionnaire.

Results

Frey’s syndrome symptom positive in none, Minor test positive in 50 per cent. The preservation rate of the great auricular nerve posterior branch was 90 per cent, but it had no significant impact on the aesthesiometer test. Transient and permanent facial paresis were observed in 13.3 per cent and 3.3 per cent, and salivary fistula in 3.3 per cent. In quality of life, the rating of general health as good/better was seen in 73.3 per cent, nil/minimal pain in 93.3 per cent, bothersome change of facial contour in none, and dry mouth in 23.3 per cent.

Conclusion

Microscopic parotidectomy achieves good surgical outcomes regarding Frey’s syndrome symptoms, greater auricular nerve preservation, facial paresis, salivary fistula and quality of life.

Keywords

Parotid neoplasmsFacial nervequality of lifepost-operative complications

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 4 , April 2025 , pp. 304 - 310
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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