Skip to main content

Advertisement

SpringerLink
Log in

Long-term effects of parotidectomy

  • Head and Neck
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The present study investigated the long-term complications of parotidectomy, the differences in these complications in regard to the pathological diagnosis and type of surgery. The patients were questioned regarding the presence of facial paresis–paralysis, pain, loss of sensation, scarring, collapse, and mouth dryness in the area of operation. Complaints of pain (p = 0.287), scarring (p = 0.456), and mouth dryness (p = 0.136) did not show statistically significant differences between the cases with benign or malignant pathological outcomes. However, complaints of loss of sensation (p < 0.001), collapse in the area of operation (p = 0.025), paresis-paralysis (p < 0.001), and fear of repeated surgery (p = 0.032) were present at significantly higher rates. Complaints of pain (p = 0.258), scarring (p = 0.665), mouth dryness (p = 0.113) and fear of repeated surgery (p = 0.053) did not show statistically significant differences between the cases who underwent superficial or total parotidectomy. However, complaints of loss of sensation (p = 0.002), paresis (p < 0.001), and collapse in the area of operation (p = 0.019) were present at significantly higher rates. The type of tumor and surgical approach significantly affect the quality of life; however, parotidectomy generally does not lead to serious long-term complications that would disturb the patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Leverstein H, van der Wal JE, Tiwari RM, van der Waal I, Snow GB (1997) Surgical management of 246 previously untreated pleomorphic adenomas of the parotid gland. Br J Surg 84:399–403

    Article  CAS  PubMed  Google Scholar 

  2. Bron LP, O’Brien CJ (1997) Facial nerve function after parotidectomy. Arch Otolaryngol Head Neck Surg 123:1091–1096

    Article  CAS  PubMed  Google Scholar 

  3. Dell’aversana Orabona G, Salzano G, Petrocelli M, Iaconetta G, Califano L (2014) Reconstructive techniques of the parotid region. J Craniofac Surg 5(3):998–1002

    Article  Google Scholar 

  4. Arad- Cohen A, Blitzer A (2000) Botulinum toxin treatment for symptomatic Frey’s syndrome. Otollaryngol Head Neck Surg 122(2):237–240

    Article  CAS  Google Scholar 

  5. Ciuman RR, Oels W, Jaussi R, Dost P (2012) Outcome, general, and symptom-specific quality of life after various types of parotid resection. Laryngoscope 122(6):1254–1261

    Article  PubMed  Google Scholar 

  6. Yla-Kotola T, Goldstein DP, Hofer SO, Patel SN, Brown DH, Irish JC, Gullane PJ, Gilbert R (2015) Facial nerve reconstruction and facial disfigurement after radical parotidectomy. J Reconstr Microsurg 31(4):313–318

    Article  PubMed  Google Scholar 

  7. Chaushu G, Dori S, Sela BA, Taicher S, Kronenberg J, Talmi YP (2001) Salivary flow dynamics after parotid surgery: a preliminary report. Otollaryngol Head Neck Surg 124(3):270–273

    Article  CAS  Google Scholar 

  8. Smith SL, Komisar A (2007) Limited parotidectomy: the role ofextracapsular dissection in parotid gland neoplasms. Laryngoscope 117:1163–1167

    Article  PubMed  Google Scholar 

  9. Cummins CW, Flint PW, Harker LA (2007) Malignant tumors of the salivary glands. In: Koç C (ed) Cummings otolaryngology head and neck surgery, 2nd edn. Oncu Basimevi, Istanbul, pp 1400–1401

    Google Scholar 

  10. Nitzan D, Kronenberg J, Horowitz Z, Wolf M, Bedrin L, Chaushu G, Talmi YP (2004) Quality of life following parotidectomy for malignant and benign disease. Plast Reconstr Surg 114(5):1060–1067

    Article  PubMed  Google Scholar 

  11. Gaillard C, Périé S, Susini B, Guily S, Lacau J (2005) Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope 115:287–291

    Article  PubMed  Google Scholar 

  12. Mehle ME, Kraus DH, Wood BG et al (1993) Facial nerve morbidity following parotid surgery for benign disease: the Cleveland Clinic Foundation experience. Laryngoscope 103:386–388

    Article  CAS  PubMed  Google Scholar 

  13. Brennan J, Moore EJ, Shuler KJ (2001) Prospective analysis of the efficacy of continuous intraoperative nerve monitoring during thyroidectomy, parathyroidectomy, and parotidectomy. Otolaryngol Head Neck Surg 124:537–543

    Article  CAS  PubMed  Google Scholar 

  14. Spiro RH, Huvos AG, Strong EW (1982) Adenocarcinoma of salivary origin: clinicopathologic study of 204 patients. Am J Surg 44:423–431

    Article  Google Scholar 

  15. De Oliveira FA, Duarte EC, Taveira CT, Máximo AA, de Aquino EC, Alencar Rde C et al (2009) Salivary gland tumor: a review of 599 cases in a Brazilian population. Head Neck Pathol 3:271–275

    Article  PubMed  PubMed Central  Google Scholar 

  16. Patel N, Har-El G, Rosenfeld R (2001) Quality of life after great auricular nerve sacrifice during parotidectomy. Arch Otolaryngol Head Neck Surg 127:884–888

    CAS  PubMed  Google Scholar 

  17. Chan LS, Barakate MS, Havas TE (2014) Free fat grafting in superficial parotid surgery to prevent Frey’s syndrome and improve aesthetic outcome. J Laryngol Otol 128(Suppl 1):S44–S49

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Mus Government Hospital, Muş, Turkey

    Bektaş Veli Kaya

  2. Department of Otorhinolaryngology, Ankara Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital, Mehmet Akif Ersoy District 13. st. No: 56, 06200, Yenimahalle, Ankara, Turkey

    Caner Kılıç, Samet Özlügedik, Ümit Tuncel & Ela Cömert

Authors
  1. Bektaş Veli Kaya
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Caner Kılıç
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Samet Özlügedik
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ümit Tuncel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Ela Cömert
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Caner Kılıç.

Ethics declarations

Conflict of interest

In the article, there is no conflict of interest.

All patients are allowed to participate in the study and informed consent was obtained verbally.

Financial disclosure

We did not receive financial support for this article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kaya, B.V., Kılıç, C., Özlügedik, S. et al. Long-term effects of parotidectomy. Eur Arch Otorhinolaryngol 273, 4579–4583 (2016). https://doi.org/10.1007/s00405-016-4173-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-016-4173-4

Keywords

Search

Navigation