Śródoperacyjne monitorowanie czynności nerwu twarzowego w chirurgii glinianki przyusznej
Journal Title: Otolaryngologia Polska - Year 2010, Vol 64, Issue 5
Abstract
SUMMARY Introduction: The route of the facial nerve in its extracranial part determines the technique of parotid gland surgery. Permanent facial nerve paralysis after parotidectomy is not rare. It is the most devastating complication for the patient and surgeon. Facial nerve monitoring by observing or palpating the face during the surgery is a long-standing practice. Using an EMG device is a standard procedure at present. Aim of the study: Evaluation of the effectiveness of intraoperative facial nerve monitoring for parotid gland surgery. Material and methods: Fifty three patients operated on due to parotid gland tumour in the Head and Neck Surgery and Laryngological Oncology Depart-ment of the Greater Poland Cancer Center in 2007-2008. All patients had been provided with EMG and ENG examinations of the facial nerve before the surgery and continuous facial nerve monitoring during the operation. Facial nerve function after surgery was assessed according to the House-Brackmann grading system. Results: Six (12%) patients presented facial nerve dysfunction after surgery. Three (6%) patients had temporary paralysis grade III H-B with complete recovery in 6 weeks. Three (6%) patients with deep lobe tumour had grade V H-B with complete recovery in one patient after 3 months, and two (4%) patients had grade III H-B after one year since the surgery. Conclusions: Intraoperative facial nerve monitoring should be a standard procedure during parotid gland surgery in most clinical situations.
Authors and Affiliations
Piotr Pieńkowski, Wojciech Golusiński, Agnieszka Wiertel-Krawczuk, Juliusz Huber
Keywords
Related Articles
- EP ID EP51974
- DOI -
- Views 119
- Downloads 0
Stylalgia – A Missed Diagnosis
Aims and objective: To study the occurrence of stylalgia in patients presenting with pain in the head and neck region and appropriate management options. Materials and methods: This was a hospital-based study. This stud...
Using pedicled mandibular osteomuscular flap in orbital reconstruction
Represented the way of orbital floor reconstruction using coronoid process of the mandible pedicled on temporal muscle. The clinical evaluation of vascularised bone graft from coronoid process confirmed their usefulness...
Vestibular neuritis – a case description
Vestibular neuritis is a group of symptoms resulting from a sudden unilateral vestibular dysfunction. It seldom occurs in children (approximately 7%). Its etiology and pathogenesis are unknown, although most researchers...
Prognostic molecular markers in oral and lip squamous cell carcinoma – evaluation of expression and its signifi cance
Introduction: Head and neck cancer treatment optimization and individualization has become possible due to the implementation of the prognostic and predictive molecular markers in diagnostics. Aim: The aim of this study...
Pleomorphic adenoma - the results of a retrospective analysis of 104 patients treated at the Clinical Department of Cranio-Maxillofacial Surgery, Clinic of Otolaryngology and Laryngologic Oncology of the Military Institute of Medicine
Pleomorphic adenoma, also known as tumor mixtus, is one of the most common types of benign neoplasm of the salivary gland, which presents as a slow growing, painless tumor. Major salivary glands are the typical localizat...