Retrograde Parotidectomy and facial nerve outcomes: A case series of 44 patients.
Stanford University School of Medicine, 291 Campus Drive, Stanford, CA 94305. Electronic address: [email protected]
Department of Otolaryngology/Head and Neck Surgery, Stanford University, 801 Welch Rd, Stanford, CA 94305.
Department of Surgery, University of Auckland, 2 Park Road, Grafton 1023, Auckland, New Zealand; Florida Hospital Celebration Health, 400 Celebration Pl, Kissimmee, FL 34747.
- Published Article
American journal of otolaryngology
- Publication Date
Jan 01, 2017
The most common surgical method to remove benign parotid tumors remains the prograde approach. We examined if a retrograde surgical technique offers better outcomes than historical prograde controls. A retrospective chart review at Stanford Hospital was conducted to identify retrograde parotidectomies between February 2012 and October 2014 that were staffed by the senior author (DS) with resident involvement. Facial nerve (FN) outcomes and other post-surgical parameters were recorded. We identified 44 consecutive cases and found that 18.2% (n=8) of patients experienced temporary paresis and 2.3% (n=1) experienced minor (HB 2) permanent paresis limited to one branch. The average hospital length of stay was 0.64 days and complication rate was 6.8%. The retrograde technique has complication rates comparable to historical rates for the prograde technique and is amenable to minimally invasive outpatient superficial parotidectomy. Copyright © 2017 Elsevier Inc. All rights reserved.
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This record was last updated on 10/20/2019 and may not reflect the most current and accurate biomedical/scientific data available from NLM.
The corresponding record at NLM can be accessed at https://www.ncbi.nlm.nih.gov/pubmed/28647300