Huawei Liu 1 , Weisheng Wen 1 , Haitao Huang 1 , Yongqiang Liang 2 , Xinying Tan 1 , Sanxia Liu 1 , Changkui Liu 1 , Min Hu 3 Show Affiliations »
Abstract
OBJECTIVE: To determine the benefit to postoperative facial function of intraoperative facial nerve monitoring (IFNM) during recurrent pleomorphic adenoma (RPA) parotid surgery. STUDY DESIGN: Cohort study with planned data collection. SETTING: Chinese PLA General Hospital. SUBJECTS AND METHODS: Fifty-eight RPA parotidectomies were performed between 2004 and 2012. Recurrence was confirmed by histopathologic examination. None of the patients had preoperative facial palsy. Electromyography-based IFNM was used in 28 patients; 30 patients were unmonitored. The durations of surgery and the severity of postoperative facial nerve palsy were compared between the 2 groups. RESULTS: There were no significant differences between the 2 groups in the incidence of immediate or permanent facial paralysis after RPA parotidectomy (P = .95 and P = .36, respectively). However, the differences in the average duration of surgery and the severity of postoperative facial nerve palsy after total parotidectomy or wide resection were significant (P < .01 and P = .01, respectively). In contrast, these differences were not significant after superficial parotidectomies (P = .43 and P = .49, respectively). The average recovery time of temporary facial nerve paralysis was significantly shorter in the monitored group compared with the unmonitored group, independent of surgical technique (P < .01). CONCLUSION: The use of IFNM during total or wide resection RPA parotidectomy reduced the duration of surgery and the incidence of postoperative facial paralysis and enhanced recovery. However, there was little impact on facial nerve outcomes when IFNM was used during superficial RPA parotidectomy. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.
OBJECTIVE: To determine the benefit to postoperative facial function of intraoperative facial nerve monitoring (IFNM) during recurrent pleomorphic adenoma (RPA) parotid surgery. STUDY DESIGN: Cohort study with planned data collection. SETTING: Chinese PLA General Hospital. SUBJECTS AND METHODS: Fifty-eight RPA parotidectomies were performed between 2004 and 2012. Recurrence was confirmed by histopathologic examination. None of the patients had preoperative facial palsy . Electromyography-based IFNM was used in 28 patients ; 30 patients were unmonitored. The durations of surgery and the severity of postoperative facial nerve palsy were compared between the 2 groups. RESULTS: There were no significant differences between the 2 groups in the incidence of immediate or permanent facial paralysis after RPA parotidectomy (P = .95 and P = .36, respectively). However, the differences in the average duration of surgery and the severity of postoperative facial nerve palsy after total parotidectomy or wide resection were significant (P < .01 and P = .01, respectively). In contrast, these differences were not significant after superficial parotidectomies (P = .43 and P = .49, respectively). The average recovery time of temporary facial nerve paralysis was significantly shorter in the monitored group compared with the unmonitored group, independent of surgical technique (P < .01). CONCLUSION: The use of IFNM during total or wide resection RPA parotidectomy reduced the duration of surgery and the incidence of postoperative facial paralysis and enhanced recovery. However, there was little impact on facial nerve outcomes when IFNM was used during superficial RPA parotidectomy. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.
Entities: Disease
Species
Keywords:
facial nerve; intraoperative monitoring; palsy; parotid gland; pleomorphic adenoma; recurrence
Mesh： See more »
Year: 2014
PMID： 24671460 DOI： 10.1177/0194599814528098
Source DB: PubMed Journal: Otolaryngol Head Neck Surg ISSN： 0194-5998 Impact factor: 3.497