Universität zu Köln

Grosheva, Maria ORCID: 0000-0002-5985-468X, Shabli, Sami, Volk, Gerd Fabian ORCID: 0000-0003-1245-6331, Sommer, Barbara, Ludwig, Laura, Finkensieper, Mira, Wittekindt, Claus ORCID: 0000-0003-1696-0199, Klussmann, Jens Peter, Guntinas-Lichius, Orlando ORCID: 0000-0001-9671-0784 and Beutner, Dirk (2017). Sensation loss after superficial parotidectomy: A prospective controlled multicenter trial. Head Neck-J. Sci. Spec. Head Neck, 39 (3). S. 520 - 527. HOBOKEN: WILEY. ISSN 1097-0347

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Abstract

Background. The purpose of this study was to evaluate the occurrence of hypoesthesia after superficial parotidectomy depending on preservation of posterior branch of the great auricular nerve (GAN). Methods. This prospective, controlled, double blind, multicenter trial included 130 patients. The posterior branch was preserved in 93 patients (GAN group), and ligated in 33 patients ( non-GAN group). In 4 patients, GAN status was unknown. Included patients underwent sensory testing (TouchTest) and subjective evaluation at 6, 12, and 24 months after surgery. Results. Better improvement of sensation was present in the GAN group. After 12 months, 59% of the patients in the GAN-group showed positive test results in the lobule, versus 24% of the non-GAN group (p 5.013). Additionally, after 24 months, 71% of the patients in the GAN-group showed a positive test in the antitragus, versus 31% in the non-GAN group (p 5.045). Hypoesthesia equally limited quality of life in both groups (all p >.05). Conclusion. Preservation of the posterior branch of the GAN led to significantly better improvement of sensation in the lobule and antitragus, and should be recommended during parotidectomy. (C) 2017 Wiley Periodicals, Inc.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Grosheva, Maria UNSPECIFIED orcid.org/0000-0002-5985-468X UNSPECIFIED Shabli, Sami UNSPECIFIED UNSPECIFIED UNSPECIFIED Volk, Gerd Fabian UNSPECIFIED orcid.org/0000-0003-1245-6331 UNSPECIFIED Sommer, Barbara UNSPECIFIED UNSPECIFIED UNSPECIFIED Ludwig, Laura UNSPECIFIED UNSPECIFIED UNSPECIFIED Finkensieper, Mira UNSPECIFIED UNSPECIFIED UNSPECIFIED Wittekindt, Claus UNSPECIFIED orcid.org/0000-0003-1696-0199 UNSPECIFIED Klussmann, Jens Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Guntinas-Lichius, Orlando UNSPECIFIED orcid.org/0000-0001-9671-0784 UNSPECIFIED Beutner, Dirk UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-238028
DOI:	10.1002/hed.24647
Journal or Publication Title:	Head Neck-J. Sci. Spec. Head Neck
Volume:	39
Number:	3
Page Range:	S. 520 - 527
Date:	2017
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1097-0347
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language GREAT AURICULAR NERVE; QUALITY-OF-LIFE; PRESERVATION; SURGERY; MORBIDITY; SACRIFICE; BRANCH; IMPACT; TUMORS Multiple languages Otorhinolaryngology; Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/23802