Universität zu Köln

Wolber, P., Volk, G. F., Horstmann, L., Finkensieper, M., Shabli, S., Wittekindt, C., Klussmann, J. P., Guntinas-Lichius, O., Beutner, D. and Grosheva, M. (2018). Patient's perspective on long-term complications after superficial parotidectomy for benign lesions: Prospective analysis of a 2-year follow-up. Clin. Otolaryngol., 43 (4). S. 1073 - 1080. HOBOKEN: WILEY. ISSN 1749-4486

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Abstract

Objective: Evaluation of patients perspective on long-term complications after superficial parotidectomy for benign lesions. Design: A prospective nonrandomized controlled multicenter study. Setting: Three university-based tertiary referral centers (Departments of Otorhinolaryngology of Cologne, Jena and Giessen; all in Germany). Participants: 130 adult patients, who underwent a primary superficial parotidectomy for benign tumors of the parotid gland, were consecutively included from 09/2010 to 05/2012. 61 patients completed every follow-up examination. Main outcome measures: Complications were evaluated using the validated German-language questionnaire Parotidectomy Outcome Inventory 8 at six, 12 and 24months after surgery. Pain intensity was assessed on a numeric rating scale (NRS) at each follow-up visit. Results: At 6 months after surgery, 90% characterized hypoesthesia as the most disturbing problem, followed by fear of revision surgery (57%) and scar (56%). Facial palsy (14%) posed the minor problem. Hypoesthesia improved significantly during the follow-up period (all P<.05), but still posed a problem for 78% of the patients after 2years. Pain, which initially bothered 53% of the patients, significantly decreased, whereas impairment due to Freys syndrome significantly increased during the follow-up (6 vs 24months; P=.002 and P=.001, respectively). Scar, substance loss, xerostomia, facial palsy, and anxiety affected patients with unvarying severity during the 2years (all P>.05). Conclusions: From patients perspective, sensation loss posed the major subjective problem after superficial parotidectomy. Appearance of the scar, and fear of revision surgery impaired more than 50% of the patients in their daily life without significant improvement during the 2years postoperatively. Although superficial parotidectomy is a highly standardized and safe procedure, limited parotidectomy for proven benign parotid salivary gland neoplasms is more likely to result in patients with minimal or no displeasing complications.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Wolber, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Volk, G. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Horstmann, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Finkensieper, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Shabli, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wittekindt, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Klussmann, J. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Guntinas-Lichius, O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Beutner, D. UNSPECIFIED UNSPECIFIED UNSPECIFIED Grosheva, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-178765
DOI:	10.1111/coa.13104
Journal or Publication Title:	Clin. Otolaryngol.
Volume:	43
Number:	4
Page Range:	S. 1073 - 1080
Date:	2018
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1749-4486
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; PLEOMORPHIC ADENOMA; AURICULAR NERVE; MORBIDITY; DISEASE; QUESTIONNAIRE; SENSATION; SURGERY; TRIAL; GLAND Multiple languages Otorhinolaryngology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17876