| Malignant parotid tumor and facial palsy. | |
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MedLine Citation:
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PMID: 17478215 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate risk factors for postoperative facial palsy in patients with parotid carcinoma. STUDY DESIGN AND SETTING: We conducted a retrospective chart review of patients with parotid carcinoma who underwent parotidectomy at National Taiwan University Hospital from 1980 to 2000. RESULTS: Eighty-eight patients with a mean age of 53 +/- 17 y were recruited. Sixty patients (68.2%) experienced postoperative facial palsy. Tumor size of larger than 4 cm was associated with an increased incidence of facial palsy (P = 0.0422). Facial palsy was noted in 95.5 percent of patients with facial nerve involvement and 51.3 percent of patients without facial nerve involvement (P = 0.0004). Of 42 patients with tumor over the deep lobe, 37 (88.1%) had facial palsy but only 50 percent (23 of 46) of those with tumor over the superficial lobe had facial palsy (P = 0.0001). CONCLUSION: There were no significant associations between histopathology and facial palsy. Increasing tumor size, deep lobe tumor location, and tumor invasion of facial nerve increased the incidence of postparotidectomy facial palsy. SIGNIFICANCE: By paying attention to these risk factors a reduction of postoperative facial nerve palsy my be achieved. |
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Authors:
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Chun-Chi Huang; Fen-Yu Tseng; Zeng-Chang Chen; Chuan-Jen Hsu; Jeng-Yuh Ko; Pei-Jen Lou; Yuh-Shyang Chen |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 136 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-05-04 Completed Date: 2007-06-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 778-82 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Factors Aged Aged, 80 and over Carcinoma / epidemiology*, pathology, surgery Facial Paralysis / diagnosis, etiology*, physiopathology Female Humans Male Middle Aged Parotid Neoplasms / epidemiology*, pathology, surgery* Postoperative Complications* Retrospective Studies Sex Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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