Parotidectomy, complications and management: our experience
Keywords:Parotidectomy, Facial nerve palsy, Parotid fistula, Frey’s syndrome
Background: Salivary gland neoplasms constitute 0.3% of all malignancies and 2%-6.5% of the head-and-neck tumors. Considering the unique anatomy of the gland and its intricate relationship with the facial nerve, significant complications may arise which can result in varying degrees of morbidity.
Methods: We present here our experience of Parotid surgery done at two institutes, NRS medical College in Kolkata and North Bengal medical College and Hospital in the Darjeling district from 2013 to 2019 in the department of ENT and Head neck Surgery. Patients were subjected to superficial parotidectomy, total conservative and total parotidectomy depending upon the preoperative FNAC report.
Results: 47 patients were subjected to different types of parotidectomies. Pleomorphic adenoma was the most common pathology encountered and facial nerve palsy was the most common post-operative complication in our series, followed by GAN injury, flap necrosis and Frey’s syndrome.
Conclusions: This demographic study will help future parotid surgeons to understand various complications encountered during the surgery and management of those aforesaid complications, improving surgical outcome.
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