A comparison of the incidence of facial palsy following parotidectomy performed by ENT and non-ENT surgeons

Eng, Chee Yean; Evans, Andrew; Quraishi, M. S.; Harkness, P.

doi:10.1017/s0022215106002702

Cited by 16 publications

(9 citation statements)

References 8 publications

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“…It is reassuring for both patients and surgeons that surgeon grade did not affect outcomes, and hopefully reflects standards of training within our teaching hospital trust. Eng and colleagues' findings regarding surgeon specialty concur with our own 9 …”

Section: Discussionsupporting

confidence: 80%

“…Eng and colleagues' findings regarding surgeon specialty concur with our own. 9 Where it is available, continuous intra-operative electromyographic nerve monitoring has become something of a medicolegal necessity. However, Grosheva et al demonstrated in a prospective trial that intra-operative nerve monitoring did not decrease the incidence of post-operative facial nerve palsy.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 Despite advances in operative technique, a significant proportion of patients undergoing parotid surgery still develop a post-operative facial palsy, with published prevalences of up to 57 per cent for temporary palsy and up to 7 per cent for permanent facial palsy. [6][7][8][9][10] This study aimed to evaluate risk factors for developing facial palsy in patients undergoing parotidectomy for treatment of benign parotid disease.…”

Section: Introductionmentioning

confidence: 99%

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Stratifying the risk of facial nerve palsy after benign parotid surgery

et al. 2014

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Stratifying the risk of facial nerve palsy after benign parotid surgery

et al. 2014

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“…Salivary fistula was reported in 137 studies 6–10,12,14–16,18–24,27,28,30–34,36,38–40,43–45,47,49,51,52,55,56,58,62–65,75,76,79,84–87,89,91,93,97–99,101,103–109,112,114–119,124–127,129,131–133,136,138,139,141,144,148–150,153,154,156,164,166,170–215 reporting on 18,815 patients (Table I and Fig. 2D).…”

Section: Resultsmentioning

confidence: 99%

Minor Parotidectomy Complications: A Systematic Review

et al. 2020

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Objectives To report descriptive statistics for minor parotidectomy complications. Methods A systematic review was performed, selecting 235 studies for analysis. The incidence of complications was tabulated, and descriptive statistics calculated. Outlier studies, 1 standard deviation above the mean, were reexamined to determine potential causal factors for each complication. All studies were examined for statistically significant differences for any potential causal factor. Results The pooled incidence of minor complications reported were hematoma 2.9% (95% confidence interval [CI]: 2.4‐3.5), wound infection 2.3% (95% CI: 1.8‐2.9), sialocele 4.5% (95% CI: 3.5‐5.7), salivary fistula 3.1% (95% CI: 2.6‐3.7), flap necrosis 1.7% (95% CI: 1.1‐2.5), scar issues 3.6% (95% CI: 2.4‐5.4), numbness 33.9% (95% CI: 25.6‐43.4), and deformity 11.8 (95% CI: 6.9‐19.5). Implants result in more wound complications, such as hematoma, sialocele, or salivary fistula. Sialocele and salivary fistula appear more frequently after less extensive parotid surgery, whereas hematoma, wound infections, flap necrosis, and aesthetic considerations are worse with more extensive resections. Conclusions Minor parotidectomy complications are more frequent than generally assumed and related to certain factors that should be investigated. Laryngoscope, 131:571–579, 2021

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“…Currently, surgical excision or parotidectomy are also standard procedures for benign parotid tumors, with the exception of Warthin’s tumor in the elderly. However, according to a previous study by Eng et al , the incidence of temporary facial palsy following parotidectomy is 56–57%, and the incidence of permanent facial palsy is 2–7% (13). In addition, the risk of complication of parotidectomy greatly depends on the experience of the surgeon.…”

Section: Discussionmentioning

confidence: 99%

Salivary gland tumors: A 20-year review of clinical diagnostic accuracy at a single center

et al. 2013

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Obtaining reliable pre-operative diagnosis is crucial in planning treatment for patients with salivary gland tumors. The purpose of this study was to evaluate the accuracy of pre-operative clinical diagnosis of salivary gland tumors managed at a single tertiary university hospital over a period of 20 years. A retrospective analysis of the period between 1992 and 2011 was carried out to review the cases of patients with salivary gland tumors. A total of 101 patients were enrolled and general data were described. Clinical diagnosis was compared with the final pathological diagnosis to reveal the clinical diagnostic accuracy. Of the parotid and submandibular gland tumors, 86 and 67% were benign, respectively. The clinical diagnostic accuracies for diagnosis of parotid tumors as benign or malignant were 100 and 57%, respectively. The clinical diagnostic accuracies for diagnosis of submandibular tumors as benign or malignant were 67%. Therefore, the overall clinical judgment of benign and malignant tumors in the submandibular gland is unreliable. The accuracy for a parotid tumor to be clinically interpreted as benign was 100%. While it is difficult to draw any conclusion for non-parotid gland tumors, surgical intervention should be recommended in patients with parotid tumors clinically suspected to be malignant, and all submandibular, sublingual and minor salivary gland tumors.

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A comparison of the incidence of facial palsy following parotidectomy performed by ENT and non-ENT surgeons

Abstract: Our complication rates were comparable with published results. There was no significant difference in the observed rate of post-operative facial nerve palsy and other known complications following parotid surgery performed by ENT and non-ENT surgeons.

Cited by 16 publications

References 8 publications

Stratifying the risk of facial nerve palsy after benign parotid surgery

Stratifying the risk of facial nerve palsy after benign parotid surgery

Minor Parotidectomy Complications: A Systematic Review

Salivary gland tumors: A 20-year review of clinical diagnostic accuracy at a single center

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