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Stationary facial nerve paresis after surgery for recurrent parotid pleomorphic adenoma: a follow-up study of 219 cases in Denmark in the period 1985–2012

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Abstract

The purpose was to assess degree of permanent facial nerve dysfunction after surgery for recurrent pleomorphic adenoma (RPA) of the parotid gland, including variables that might influence re-operation outcomes. Nationwide retrospective longitudinal cohort study including a questionnaire survey of patients undergoing surgery for RPA. Of 219 living patients, 198 (92 %) responded and 127 (63 %) reported no facial dysfunction. Statistically significant associations were found between number of surgeries and permanent facial nerve dysfunction of all degrees (OR 1.43, 95 % CI 1.16–1.78, p = 0.001). A not significant tendency for females to be associated with worse outcome was found (p = 0.073). Risks of different degrees of paresis after the second–fourth surgeries were found (OR 1.86–2.19, p < 0.05). Our study demonstrates a significant correlation between number of surgeries for RPA of the parotid and severity of facial nerve paresis. This is important when informing and planning treatment of these patients.

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery 2073, Rigshospitalet, University Hospital of Copenhagen, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark

    Anders Nøhr & Simon Andreasen

  2. Department of Otorhinolaryngology and Maxillofacial Surgery, Køge University Hospital, Lykkebækvej 1, 4600, Køge, Denmark

    Simon Andreasen & Preben Homøe

  3. Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3b, 2200, Copenhagen, Denmark

    Simon Andreasen & Preben Homøe

  4. Department of Pathology, Rigshospitalet, Blegdamsvej 9, 2100, Copenhagen, Denmark

    Marianne Hamilton Therkildsen

Authors
  1. Anders Nøhr
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  2. Simon Andreasen
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  3. Marianne Hamilton Therkildsen
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  4. Preben Homøe
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Corresponding author

Correspondence to Anders Nøhr.

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None of the authors have any conflicts of interest or financial relationships with any sponsors. This study was primarily done as unfunded voluntary work.

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Nøhr, A., Andreasen, S., Therkildsen, M.H. et al. Stationary facial nerve paresis after surgery for recurrent parotid pleomorphic adenoma: a follow-up study of 219 cases in Denmark in the period 1985–2012. Eur Arch Otorhinolaryngol 273, 3313–3319 (2016). https://doi.org/10.1007/s00405-016-3921-9

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  • DOI: https://doi.org/10.1007/s00405-016-3921-9

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