Abstract
Parotid tumours are not uncommon. The management is surgical for benign and malignant parotid neoplasm. Due to the location of parotid gland and its intricate relationship with facial nerve, cosmetic and functional outcomes after parotid surgery are extremely important. Objectives of the study were to analyse facial nerve functions with emphasis on the quality of life of patients undergoing surgery for parotid neoplasm. A prospective study was conducted on patients presented with parotid neoplasm and undergone parotid surgery. Patient with malignant neoplasm were excluded. 30 patients with benign parotid neoplasm in final histopathology were included in the study. Post operative assessment of facial nerve was done using postparotidectomy facial nerve grading system. Symptom-specific QOL was assessed with the parotidectomy outcome inventory-8. Aesthetic outcome was evaluated with an ordinal scale. Posterior belly of digastric muscle and tragal pointer were the commonest landmark used for facial nerve identification. Temporary facial nerve dysfunction was present in six (20%) patients with marginal mandibular branch most commonly involved. 96% of the female patients and 91% of the male patients rated the cosmetic result as good or very good. A statistically significant difference is noted between superficial parotidectomy and total Parotidectomy for cosmetic outcome and sensory impairment. We noted that changed appearance due to resection of the parotid gland and scar and sensory impairment in the area affect the quality of life of patients and such affect are more after total conservative parotidectomy.
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Acknowledgements
No financial funding received. Patients were treated free of cost under Chief Minister’s ‘MNDY (Mukhyamantri Nishulk Dava Yojana) scheme’ sponsored by Government of Rajasthan.
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The authors declare that they have no conflict of interest.
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All procedures performed in presented study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Informed consent was obtained from all individual participants included in the study.
Appendices
Appendix 1
The PPFGNS is used as per Creative Commons Attribution License with all credits to original authors and copyright holders from Eur Arch Otorhinolaryngol, Facial nerve grading after parotidectomy, 272(9), 2015, 2445–2450, Stodulski D, Skorek A, Mikaszewski B, Wiśniewski P, Stankiewicz C, Copyright © The Author(s) 2014 Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited (Tables 4, 5).
Appendix 2
The POI-8 is used from HNO, Development and validation of the Parotidectomy Outcome Inventory 8 (POI-8) Measurement of quality of life after parotidectomy in benign diseases, 57(9), 2009, 884–888, Baumann I, Cerman Z, Sertel S, Skevas T, Klingmann C, Plinkert PK, Springer Medizin Verlag 2009 “With permission of Springer” License No. 4103510708955 License date May 07, 2017.
Parotidectomy outcome inventory 8 (POI-8) [8, 9]
S. no. | No problem | Very small problem | Small problem | Moderate problem | Severe problem | it cannot be worse | |
|---|---|---|---|---|---|---|---|
1. | Pain in the area of operations and/or face | 0 | 1 | 2 | 3 | 4 | 5 |
2 | Sensory impairment in the area of operations and/or neck | 0 | 1 | 2 | 3 | 4 | 5 |
3 | Abnormality of the scar | 0 | 1 | 2 | 3 | 4 | 5 |
4 | Changed appearance due to facial nerve paralysis | 0 | 1 | 2 | 3 | 4 | 5 |
5 | Changed appearance due to resection of the parotid gland (tissue loss) | 0 | 1 | 2 | 3 | 4 | 5 |
6 | Perspiration in the area of operations (particularly at dinner) | 0 | 1 | 2 | 3 | 4 | 5 |
7 | Dryness of mouth as impact of the operation | 0 | 1 | 2 | 3 | 4 | 5 |
8 | I have fear of revision surgery | 0 | 1 | 2 | 3 | 4 | 5 |
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Chaudhary, V.K., Rawat, D.S., Tailor, M. et al. Post Parotidectomy Quality of Life in Patients with Benign Parotid Neoplasm: A Prospective Study. Indian J Otolaryngol Head Neck Surg 71 (Suppl 1), 363–368 (2019). https://doi.org/10.1007/s12070-018-1312-9
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DOI: https://doi.org/10.1007/s12070-018-1312-9