Facial Nerve Monitoring During Parotidectomy: A Two-Center Retrospective Study
نویسندگان
چکیده مقاله:
Introduction: We present a retrospective two-center study series and discussion of the current literature to assess the benefits of facial nerve monitoring during parotidectomy. Materials and Methods: From 2007 to 2012, 128 parotidectomies were performed in 125 patients. Of these, 47 procedures were performed without facial nerve monitoring (group 1) and 81 with facial nerve monitoring (group 2). The primary endpoint was the House-Brackmann classification at 1 month and 6 months. Facial palsy was determined when the House-Brackmann grade was 3 or higher. Results: In group 1, 15 facial palsies were noted; 8 were transient and 7 were definitive. In group 2, 19 facial palsies were noted; 12 were transient and 7 were definitive. At both one and six months after parotidectomy, the rate of facial palsy in reoperation cases was significantly higher in group 1 than in group 2. Conclusion: Facial nerve monitoring is a simple, effective adjunct method that is available to surgeons to assist with the functional preservation of the facial nerve during parotid surgery. Although it does not improve the facial prognosis in first-line surgery, it does improve the facial prognosis in reoperations.
منابع مشابه
facial nerve monitoring during parotidectomy: a two-center retrospective study
introduction: we present a retrospective two-center study series and discussion of the current literature to assess the benefits of facial nerve monitoring during parotidectomy. materials and methods: from 2007 to 2012, 128 parotidectomies were performed in 125 patients. of these, 47 procedures were performed without facial nerve monitoring (group 1) and 81 with facial nerve monitoring (group 2...
متن کاملFacial Nerve Monitoring During Parotidectomy:A Two-Center Retrospective Study
INTRODUCTION We present a retrospective two-center study series and discussion of the current literature to assess the benefits of facial nerve monitoring during parotidectomy. MATERIALS AND METHODS From 2007 to 2012, 128 parotidectomies were performed in 125 patients. Of these, 47 procedures were performed without facial nerve monitoring (group 1) and 81 with facial nerve monitoring (group 2...
متن کاملEvaluation of Two Facial Nerve Landmarks Frequency in Parotidectomy
This is a Correction to: http://irjns.org/article-1-52-en.html&sw=Evaluation+of+Two+Facial+Nerve+Landmarks+Frequency+in+Parotidectomy
متن کاملEvaluation of Two Facial Nerve Landmarks Frequency in Parotidectomy
Background & Aim: Various landmarks are discussed to find the facial nerve during parotid surgery. The surgeon should use existing landmarks for a safe surgical use. To evaluate two new landmarks in parotid surgery, this study was done. Methods & Materials/Patients: This cross-sectional study was conducted on 43 patients with parotid masses, whom were referred to Alzahra and Kashani tertiary...
متن کاملFacial nerve monitoring during parotidectomy: a systematic review and meta-analysis.
OBJECTIVES To determine the effectiveness of intraoperative facial nerve monitoring (FNM) in preventing immediate and permanent postoperative facial nerve weakness in patients undergoing primary parotidectomy. DATA SOURCES PubMed-NCBI database from 1970 to 2014. REVIEW METHODS A systematic review and meta-analysis of the literature was conducted. Acceptable studies included controlled serie...
متن کاملImproved facial nerve identification during parotidectomy with fluorescently labeled peptide.
OBJECTIVES/HYPOTHESIS Additional intraoperative guidance could reduce the risk of iatrogenic injury during parotid gland cancer surgery. We evaluated the intraoperative use of fluorescently labeled nerve binding peptide NP41 to aid facial nerve identification and preservation during parotidectomy in an orthotopic model of murine parotid gland cancer. We also quantified the accuracy of intraoper...
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عنوان ژورنال
دوره 28 شماره 4
صفحات 255- 260
تاریخ انتشار 2016-07-01
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