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The effects of residual parotid volume on symptom-specific quality of life and complications in patients undergoing parotid surgery

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Abstract

Purpose

To measure postoperative residual parotid volumes in parotidectomy patients and to measure the effect of residual parotid volumes on the symptom-specific quality of life (SSQOL) and complications.

Methods

Between January 2010 and December 2016, 148 parotid gland surgeries were performed, and 74 patients were included in the study. Bilateral parotid gland volumes were measured by Magnetic Resonance Imaging (MRI). Parotidectomy Outcome Inventory-8 and aesthetic scale questionnaire were applied to the patients. The volumetric averages obtained were compared with the questions in the SSQOL scale, the aesthetic scale data, and complications.

Results

In the volumetric examination performed with MRI, the mean residual volumes of the operated parotid glands were 9.5 cm3, while the non-operated side was 28.8 cm3. The width of the surgery and the residual parotid tissue volume was inversely correlated. There was a statistically significant difference between the residual parotid gland volume and the pain related to the surgical area, depression in the surgical site, Frey's syndrome, incision scar, and numbness. As the residual parotid gland volumes decreased, the patients' cosmetic problems related to the surgical field increased significantly, and their SSQOL decreased.

Conclusion

Postoperative residual parotid tissue volume could be an objective parameter to measure patients' SSQOL and complications. After parotidectomy, the maximum amount of disease-free tissue of the parotid gland should be left in place to increase patients' quality of life and minimize complications.

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Availability of data and material

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

Code availability

No applicable.

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Funding

The authors did not receive support from any organization for the submitted work.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, Malatya Training and Research Hospital, Malatya, Turkey

    Sukru Aydin

  2. Department of Radiology, Inonu University Faculty of Medicine, Malatya, Turkey

    Mehmet Fatih Erbay

  3. Department of Otorhinolaryngology-Head and Neck Surgery, Inonu University Faculty of Medicine, Malatya, Turkey

    Ahmet Kizilay

Authors
  1. Sukru Aydin
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  2. Mehmet Fatih Erbay
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  3. Ahmet Kizilay
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Sukru Aydin and Mehmet Fatih Erbay. The first draft of the manuscript was written by Sukru Aydin and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sukru Aydin.

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Conflict of interest

The authors have no relevant financial or non-financial interests to disclose.

Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Malatya Clinical Research Ethics Committee (2017/63).

Consent to participate

Informed consent was obtained from all individual participants included in the study.

Consent for publication

Patients signed informed consent regarding publishing their data.

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This research was presented as a thesis at Inonu University Faculty of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, in 2019. Permission has been obtained from Dr. Baumann to use Parotidectomy Outcome Inventory-8.

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Cite this article

Aydin, S., Erbay, M.F. & Kizilay, A. The effects of residual parotid volume on symptom-specific quality of life and complications in patients undergoing parotid surgery. Eur Arch Otorhinolaryngol 278, 5003–5011 (2021). https://doi.org/10.1007/s00405-021-06742-4

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  • DOI: https://doi.org/10.1007/s00405-021-06742-4

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