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Stationary facial nerve paresis after surgery for recurrent parotid pleomorphic adenoma: a follow-up study of 219 cases in Denmark in the period 1985-2012.
Nøhr, Anders; Andreasen, Simon; Therkildsen, Marianne Hamilton; Homøe, Preben.
Afiliação
  • Nøhr A; Department of Otolaryngology, Head and Neck Surgery 2073, Rigshospitalet, University Hospital of Copenhagen, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark. andersnoehr@gmail.com.
  • Andreasen S; Department of Otolaryngology, Head and Neck Surgery 2073, Rigshospitalet, University Hospital of Copenhagen, Blegdamsvej 9, 2100, Copenhagen Ø, Denmark.
  • Therkildsen MH; Department of Otorhinolaryngology and Maxillofacial Surgery, Køge University Hospital, Lykkebækvej 1, 4600, Køge, Denmark.
  • Homøe P; Faculty of Health and Medical Sciences, University of Copenhagen, Blegdamsvej 3b, 2200, Copenhagen, Denmark.
Eur Arch Otorhinolaryngol ; 273(10): 3313-9, 2016 Oct.
Article em En | MEDLINE | ID: mdl-26869475
ABSTRACT
The purpose was to assess degree of permanent facial nerve dysfunction after surgery for recurrent pleomorphic adenoma (RPA) of the parotid gland, including variables that might influence re-operation outcomes. Nationwide retrospective longitudinal cohort study including a questionnaire survey of patients undergoing surgery for RPA. Of 219 living patients, 198 (92 %) responded and 127 (63 %) reported no facial dysfunction. Statistically significant associations were found between number of surgeries and permanent facial nerve dysfunction of all degrees (OR 1.43, 95 % CI 1.16-1.78, p = 0.001). A not significant tendency for females to be associated with worse outcome was found (p = 0.073). Risks of different degrees of paresis after the second-fourth surgeries were found (OR 1.86-2.19, p < 0.05). Our study demonstrates a significant correlation between number of surgeries for RPA of the parotid and severity of facial nerve paresis. This is important when informing and planning treatment of these patients.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Reoperação / Neoplasias Parotídeas / Nervo Facial / Paralisia Facial / Recidiva Local de Neoplasia País/Região como assunto: Europa Idioma: En Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Dinamarca

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Complicações Pós-Operatórias / Reoperação / Neoplasias Parotídeas / Nervo Facial / Paralisia Facial / Recidiva Local de Neoplasia País/Região como assunto: Europa Idioma: En Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Dinamarca