Influence of parotidectomy extent on complications after benign parotid surgery

IF 2.1 2区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Cranio-Maxillofacial Surgery Pub Date : 2025-06-03 DOI:10.1016/j.jcms.2025.05.013

Matteo Alicandri-Ciufelli , Carla Cantaffa , Francesco Maccarrone , Alfredo Lo Manto , Paolo Russo , Matteo Gibertini , Federico Salvatore Giordano , Nicola Amato , Mattia Di Bartolomeo , Alexandre Anesi , Francesco Mattioli , Daniele Marchioni , Livio Presutti , Giulia Molinari

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引用次数: 0

Abstract

This study aimed to assess how the extent of parenchymal removal impacts on postoperative complications after benign parotid surgery.

A multicentric retrospective study on parotidectomies for benign lesions performed between 2014 and 2020 was carried out. Demographics, tumor characteristics, surgical details, and postoperative outcomes were analyzed.

In total, 591 patients were included. Multivariable logistic regression analysis revealed that partial superficial parotidectomy (PSP) was associated with a lower risk of postoperative facial nerve (FN) palsy, great auricular nerve (GAN) hypoanesthesia, and Frey syndrome (FS) than superficial parotidectomy (SP), irrespective of tumor size. Extracapsular dissection (ECD) was found to be protective for FS compared with SP, irrespective of tumor size. ECD was associated with a higher risk of FN palsy and GAN hypoanesthesia than PSP.

Minimally invasive parotidectomy procedures, such as ECD and PSP, are associated with similar or even decreased rates of postoperative complications when compared with more traditional procedures, such as SP.

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良性腮腺手术后腮腺切除程度对并发症的影响。

本研究旨在评估良性腮腺手术切除实质程度对术后并发症的影响。对2014年至2020年间行腮腺良性病变切除术的多中心回顾性研究。分析了人口统计学、肿瘤特征、手术细节和术后结果。共纳入591例患者。多变量logistic回归分析显示，腮腺部分浅表切除术（PSP）与腮腺浅表切除术（SP）相比，术后面神经（FN）麻痹、大耳神经（GAN）麻醉不足和Frey综合征（FS）的风险较低，与肿瘤大小无关。与SP相比，囊外剥离（ECD）对FS具有保护作用，与肿瘤大小无关。与PSP相比，ECD与FN麻痹和GAN麻醉不足的风险更高。与传统手术（如SP）相比，微创腮腺切除术（如ECD和PSP）的术后并发症发生率相似甚至更低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cranio-Maxillofacial Surgery 医学-外科

CiteScore

5.20

自引率

22.60%

发文量

117

审稿时长

70 days

期刊介绍： The Journal of Cranio-Maxillofacial Surgery publishes articles covering all aspects of surgery of the head, face and jaw. Specific topics covered recently have included: • Distraction osteogenesis • Synthetic bone substitutes • Fibroblast growth factors • Fetal wound healing • Skull base surgery • Computer-assisted surgery • Vascularized bone grafts