1 Jul 2017Article
Complications after parotid gland surgery Our experience
Antonio Romano 1Antonia Cama 1Raffaele Corvino 1Pasquale Graziano 1Marco Friscia 1Giorgio Iaconetta 2Luigi Califano 1
Affiliations
Article Info
1 Department of Cranio Maxillo-Facial, University of Naples “Federico Secondo”, Naples, Italy
2 Department of Neurosurgery, University of Salerno “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy
Ann. Ital. Chir., 2017, 88(4), 295-301;
Published: 1 Jul 2017
Copyright © 2017 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: Complications after parotid surgery include deficit of the facial nerve, wound complications, as sialocele and salivary fistula, and Frey syndrome; the goal of this study was to evaluate the relationship between the type of parotid surgery performed and the incidence of each of these complications. MATERIAL OF STUDY: A total of 184 patients were evaluated and 158 were included in the study. Four different kinds of intervention were made: extracapsular dissection, partial superficial parotidectomy; superficial parotidectomy and total parotidectomy. The incidence of each complication was studied and correlated to the type of surgery performed. Statistical analysis was done using the chi-square test of independence. RESULTS: From all cases examined, 86 patients developed facial nerve complications with 59 minor asymmetry, 19 partial weakness and 8 complete weakness. Forty patients had wound complications, 28 sialocele and 12 salivary fistula. Sixteen patients developed Frey syndrome. DISCUSSION: Facial nerve complications and Frey syndrome were significantly related to superficial or total parotidectomy, differently extracapsular dissection and partial superficial parotidectomy had more cases of wound complications. CONCLUSION: The kind of complications that occur after parotid surgery depends on surgery performed. Chi-square test has a statistically significant result and confirms this kind of relationship (P <.0001).
Keywords
- Facial nerve
- Parotid glands
- Parotidectomy