Parotidectomy, complications and management: our experience

Authors

  • Pranabashish Banerjee Department of ENT, NRS Medical College, Kolkata, West Bengal, India
  • B. Sikdar Department of ENT, NRS Medical College, Kolkata, West Bengal, India
  • Gautam Das North Bengal Medical College, Siliguri, West Bengal, India
  • Arijit Das North Bengal Medical College, Siliguri, West Bengal, India
  • Arunava Ghosh North Bengal Medical College, Siliguri, West Bengal, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20203560

Keywords:

Parotidectomy, Facial nerve palsy, Parotid fistula, Frey’s syndrome

Abstract

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.

Author Biography

Pranabashish Banerjee, Department of ENT, NRS Medical College, Kolkata, West Bengal, India

Associate Prof

Department of ENT

NRS Medical College and Hospital

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Published

2020-08-25

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Original Research Articles