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Centripetal Versus Centrifugal Facial Nerve Dissection in Superficial Parotidectomy: Comparison of the Two Methods at a Tertiary Care Center

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Abstract

Objectives: To compare the intraoperative and postoperative parameters of two techniques of facial nerve dissection: Centripetal vs Centrifugal. Study Design: Prospective study. Setting: Academic tertiary referral centre. Methods: In our study, cases of superficial parotidectomy were randomly selected from the outpatient departments of ORL & HNS. Of these patients, 30 underwent standard anterograde dissection group (Group A) and 30 underwent retrograde facial nerve dissection (Group B). All the patients were assessed pre-operatively, intra-operatively and post-operatively to compare the various parameters. Results: The most common complaint in both groups was parotid swelling. The operative time for A was shorter at 2.1 h as compared to 1.9 h min in group B. The resolution of symptoms was nearly comparable in both groups. Facial nerve palsy was slightly more in group B but the difference was not statistically significant. Conclusion: The operative time and post-operative complications were both comparable between AFND and RFND, implying both techniques can be used by surgeons depending on the individual cases.

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Funding

No funding was received for conducting this study.

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Authors and Affiliations

  1. Department of ORL & HNS, SKIMS Medical College and Hospital, Srinagar, J&K, India

    Faizah Ashfah Latief Deva M.B.B.S, M.S. ORL & HNS

  2. Department of ORL & HNS, ASCOMS Medical College and Hospital, Jammu, India

    Anchal Gupta M.B.B.S, M.S. ORL & HNS

Authors
  1. Faizah Ashfah Latief Deva M.B.B.S, M.S. ORL & HNS
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  2. Anchal Gupta M.B.B.S, M.S. ORL & HNS
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Contributions

All authors contributed to the conception and study design. Material preparation, data collection, analysis and the first draft of the manuscript were written by Dr. Faizah Deva and all authors commented on the previous versions of the manuscript. All authors have read and approved the final manuscript.

Corresponding authors

Correspondence to Faizah Ashfah Latief Deva M.B.B.S, M.S. ORL & HNS or Anchal Gupta M.B.B.S, M.S. ORL & HNS.

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Approval was obtained from the ethics committee of our college. The procedures used in this study adhere to the tenets of the Declaration of Helsinki.

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Deva, F.A.L., Gupta, A. Centripetal Versus Centrifugal Facial Nerve Dissection in Superficial Parotidectomy: Comparison of the Two Methods at a Tertiary Care Center. Indian J Otolaryngol Head Neck Surg 75, 1525–1532 (2023). https://doi.org/10.1007/s12070-023-03476-z

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