Case-tailored indicated extracapsular dissection versus “one-size-fits-all” nerve dissection: Has the bet been won?

Mantsopoulos K, Gehrking MR, Thimsen V, Sievert M, Müller SK, Rupp R, Balk M, Gostian AO, Koch M, Iro H (2024)

Publication Language: English

Publication Type: Journal article

Publication year: 2024

Journal

American Journal of Otolaryngology WB Saunders

Book Volume: 45

Article Number: 104260

Journal Issue: 4

DOI: 10.1016/j.amjoto.2024.104260

Abstract

Objective: The aim of the study was to trace the development of surgical therapy in a large cohort, examine its changes at one single institution that has been specializing in salivary gland pathologies over the last 22 years, and to determine the extent to which a possible shift in the surgical therapy of parotid benign tumors towards less radical methods was correlated with a change in the incidence of facial palsy and Frey's syndrome. Study design: Retrospective clinical study. Methods: A retrospective evaluation of the records of all patients treated for benign parotid tumors at a tertiary referral center between 2000 and 2022 was carried out. Surgical methods were classified into four groups: extracapsular dissection, partial superficial parotidectomy, superficial parotidectomy and complete parotidectomy. Results: A total of 4037 patients were included in the study. Our analysis demonstrated an increase in the total number of parotidectomies for benign lesions from 71 (2000) to 298 (2022), mostly due to the increase in extracapsular dissections (from 9 to 212). The increased performance of less radical surgery was associated with a significantly decreased incidence of perioperative complications. Conclusions: Our study showed that the increased performance of less radical surgery was associated with better functional outcomes over the years.

Authors with CRIS profile

Konstantinos Mantsopoulos Department of Otorhinolaryngology – Head and Neck Surgery Mika Ruben Gehrking Department of Otorhinolaryngology – Head and Neck Surgery Vivian Thimsen Department of Otorhinolaryngology – Head and Neck Surgery Matti Sievert Department of Otorhinolaryngology – Head and Neck Surgery Sarina Müller-Hübner Department of Otorhinolaryngology – Head and Neck Surgery Robin Rupp Department of Otorhinolaryngology – Head and Neck Surgery Matthias Balk Department of Otorhinolaryngology – Head and Neck Surgery Antoniu-Oreste Gostian Department of Otorhinolaryngology – Head and Neck Surgery Michael Koch Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde Heinrich Iro Lehrstuhl für Hals-, Nasen- und Ohrenheilkunde

How to cite

APA:

Mantsopoulos, K., Gehrking, M.R., Thimsen, V., Sievert, M., Müller, S.K., Rupp, R.,... Iro, H. (2024). Case-tailored indicated extracapsular dissection versus “one-size-fits-all” nerve dissection: Has the bet been won? American Journal of Otolaryngology, 45(4). https://doi.org/10.1016/j.amjoto.2024.104260

MLA:

Mantsopoulos, Konstantinos, et al. "Case-tailored indicated extracapsular dissection versus “one-size-fits-all” nerve dissection: Has the bet been won?" American Journal of Otolaryngology 45.4 (2024).

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