Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-23T00:23:20.888Z Has data issue: false hasContentIssue false
  • English
  • Français

Quality of life after surgery for benign disease of the parotid gland

Published online by Cambridge University Press:  08 March 2017

A N Erkan ,
H Yavuz ,
C Ozer ,
F Ozer  and
L Ozluoglu
A N Erkan*
Affiliation:
Department of Otorhinolaryngology, Baskent University Faculty of Medicine, Ankara, Turkey
H Yavuz
Affiliation:
Department of Otorhinolaryngology, Baskent University Faculty of Medicine, Ankara, Turkey
C Ozer
Affiliation:
Department of Otorhinolaryngology, Baskent University Faculty of Medicine, Ankara, Turkey
F Ozer
Affiliation:
Department of Otorhinolaryngology, Baskent University Faculty of Medicine, Ankara, Turkey
L Ozluoglu
Affiliation:
Department of Otorhinolaryngology, Baskent University Faculty of Medicine, Ankara, Turkey
*
Address for correspondence: Alper Nabi Erkan, ENT Department, Baskent University Adana Teaching and Medical Research Center, Baskent Seyhan Hastanesi, Baraj Yolu 1. Durak, Seyhan/Adana, Turkey. Fax: +90 322 4592622 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To evaluate quality of life after surgery for benign neoplastic disease of the parotid gland.

Patients and methods:

A quality of life questionnaire, which was created from the Hebrew version of the University of Washington Quality of Life prototype, was applied to 55 patients who underwent surgery for benign neoplastic parotid disease. All patients were examined in Baskent University Adana Teaching and Medical Research Center, where all except 10 subjects (who responded by phone) completed the quality of life questionnaire.

Results:

The highest overall score was 96.3 indicating no salivary fistula. Only one patient complained of salivary secretion through the wound scar. The lowest overall score was 59.5 indicating loss of sensation. Although no post-surgical pain was reported by 32 (58 per cent) patients, 16 (29 per cent) patients reported a post-surgical change in their appearance. Scarring and surgical site depression were reported by 26 (47 per cent) and 17 patients (30 per cent), respectively. Facial nerve impairment was reported by seven patients (13 per cent) during the early post-operative period; these patients recovered from that impairment. The only significant statistical correlations were noted between general health and gender, and between post-surgical pain and gender. There was not any statistical correlation between all data and age, tumour type and education level.

Conclusion:

The general status of patients who have undergone surgery for a benign parotid neoplasm can be assessed with a quality of life questionnaire. Patients' post-surgical quality of life can be improved by the correct choice of surgical approach and reconstructive method.

Keywords

Parotid NeoplasmsParotidectomyComplicationsQuality of Life
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 4 , April 2008 , pp. 397 - 402
Copyright
Copyright © JLO (1984) Limited 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 de Ru, JA, van Benthem, PP, Hordijk, GJ. Morbidity of parotid gland surgery: results 1 year post-operative. Eur Arch Otorhinolaryngol 2006;263:582–5Google ScholarPubMed
2 Nitzan, D, Kronenberg, J, Horowitz, Z, Wolf, M, Bedrin, L, Chaushu, G et al. Quality of life following parotidectomy for malignant and benign disease Plast Reconstr Surg 2004;114:1060–7Google Scholar
3 Reilly, J, Myssiorek, D. Facial nerve stimulation and postparotidectomy facial paresis. Otolaryngol Head Neck Surg 2003;128:530–3Google Scholar
4 Kerawala, CJ, McAloney, N, Stassen, LF. Prospective randomised trial of the benefits of a sternocleidomastoid flap after superficial parotidectomy. Br J Oral Maxillofac Surg 2002;40:468–72CrossRefGoogle ScholarPubMed
5 Marshall, AH, Quraishi, SM, Bradley, PJ. Patients' perspectives on the short- and long-term outcomes following surgery for benign parotid neoplasms. J Laryngol Otol 2003;117:624–9CrossRefGoogle Scholar
6 Mehle, ME, Kraus, DH, Wood, BG, Benninger, MS, Eliachar, I, Levine, HL et al. Facial nerve morbidity following parotid surgery for benign disease: the Cleveland Clinic Foundation experience. Laryngoscope 1993;103:386–8Google Scholar
7 Hui, Y, Wong, DS, Wong, LY, Ho, WK, Wei, WI. A prospective controlled double-blind trial of great auricular nerve preservation at parotidectomy. Am J Surg 2003;185:574–9Google Scholar
8 Brown, JS, Ord, RA. Preserving the great auricular nerve in parotid surgery. Br J Oral Maxillofac Surg 1989;27:459–66CrossRefGoogle ScholarPubMed
9 Christensen, NR, Jacobsen, SD. Parotidectomy. Preserving the posterior branch of the great auricular nerve. J Laryngol Otol 1997;111:556–9CrossRefGoogle ScholarPubMed
10 Porter, MJ, Wood, SJ. Preservation of the great auricular nerve during parotidectomy. Clin Otolaryngol Allied Sci 1997;22:251–3CrossRefGoogle ScholarPubMed
11 Patel, N, Har-El, G, Rosenfeld, R. Quality of life after great auricular nerve sacrifice during parotidectomy. Arch Otolaryngol Head Neck Surg 2001;127:884–8Google Scholar
12 Dulguerov, P, Quinodoz, D, Cosendai, G, Piletta, P, Marchal, F, Lehmann, W. Prevention of Frey syndrome during parotidectomy. Arch Otolaryngol Head Neck Surg 1999;125:833–9CrossRefGoogle ScholarPubMed
13 Casler, JD, Conley, J. Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey's syndrome. Laryngoscope 1991;101:95–100CrossRefGoogle ScholarPubMed
14 Singleton, GT, Cassisi, NJ. Frey's syndrome: incidence related to skin flap thickness in parotidectomy. Laryngoscope 1980;90:1636–9Google Scholar
15 Wallis, KA, Gibson, T. Gustatory sweating following parotidectomy: correction by a fascia lata graft. Br J Plast Surg 1978;31:68–71CrossRefGoogle ScholarPubMed
16 Nosan, DK, Ochi, JW, Davidson, TM. Preservation of facial contour during parotidectomy. Otolaryngol Head Neck Surg 1991;104:293–8CrossRefGoogle ScholarPubMed
17 Rubinstein, RY, Rosen, A, Leeman, D. Frey syndrome: treatment with temporoparietal fascia flap interposition. Arch Otolaryngol Head Neck Surg 1999;125:808–11CrossRefGoogle ScholarPubMed
18 Asal, K, Koybasioglu, A, Inal, E, Ural, A, Uslu, SS, Ceylan, A et al. Sternocleidomastoid muscle flap reconstruction during parotidectomy to prevent Frey's syndrome and facial contour deformity. Ear Nose Throat J 2005;84:173–6Google Scholar
19 O'Brien, CJ. Current management of benign parotid tumors – the role of limited superficial parotidectomy. Head Neck 2003;25:946–52CrossRefGoogle ScholarPubMed
20 Wax, M, Tarshis, L. Post-parotidectomy, fistula. J Otolaryngol 1991;20:10–13Google Scholar
21 Cavanaugh, K, Park, A. Postparotidectomy fistula: a different treatment for an old problem. Int J Pediatr Otorhinolaryngol 1999;47:265–8CrossRefGoogle ScholarPubMed
22 Kizilay, A, Aladag, I, Ozturan, O. Successful use of botulinum toxin injection in the treatment of salivary fistula following parotidectomy [in Turkish]. Kulak Burun Bogaz Ihtis Derg 2003;10:78–81Google ScholarPubMed
23 Terris, DJ, Tuffo, KM, Fee, WE Jr. Modified facelift incision for parotidectomy. J Laryngol Otol 1994;108:574–8CrossRefGoogle ScholarPubMed
24 Chow, TL, Lam, CY, Chiu, PW, Lim, BH, Kwok, SP. Sternomastoid-muscle transposition improves the cosmetic outcome of superficial parotidectomy. Br J Plast Surg 2001;54:409–11Google Scholar
25 Meningaud, JP, Bertolus, C, Bertrand, JC. Parotidectomy: assessment of a surgical technique including facelift incision and SMAS advancement. J Craniomaxillofac Surg 2006;34:34–7CrossRefGoogle ScholarPubMed