A comparison between endoscope-assisted partial parotidectomy and conventional partial parotidectomy

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Xiaoming HuangHong-Zhang Huang

Abstract

To report the feasibility of endoscope-assisted parotidectomy with an ultrasonic scalpel. Randomized clinical trial. A total of 38 patients were randomly assigned to conventional (20 patients) or endoscope-assisted (18 patients) partial parotidectomy. Via retrograde approach, endoscopic and surgical instruments were inserted through two 20- to 25-mm incisions (retromandibular and postauricular). The endoscopic surgery lasted for 108.61 +/- 11.86 minutes and the bleeding volume was significantly lower than in the conventional group. All 18 patients were satisfied with their cosmetic results; 14 patients (65%) were satisfied with the great auricular nerve preservation; only one patient had temporary facial paresis and salivary fistula. There was no tumor recurrence in both groups during the follow-up after 26 to 40 months) the endoscope-assisted parotidectomy group (median 30 months, range 26-40 months) and conventional group (median 32 months, range 26-40 months). Endoscope-assisted parotidectomy is a feasible technique. This procedure may serve as an alternative approach that allows a smaller incision.

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Citations

Dec 20, 2011·Surgical Endoscopy·Liang-si ChenXiaoming Huang
Aug 1, 2012·Oral and Maxillofacial Surgery·Farzad BorumandiLuke Cascarini
Dec 3, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Junming ChenYuejian Wang
Aug 26, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Ping HanXiaoming Huang
Jan 6, 2012·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Pasquale CapaccioLorenzo Pignataro
May 15, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yuyan Yan, Xiaohong Chen
Aug 2, 2011·International Journal of Pediatric Otorhinolaryngology·Ping HanXiaoyu Jiang
May 28, 2014·ORL; Journal for Oto-rhino-laryngology and Its Related Specialties·Junming ChenYuejian Wang
Mar 15, 2019·Head & Neck·Tiancheng LiShuifang Xiao
Jul 18, 2020·The Laryngoscope·Silvia LambielPavel Dulguerov
Dec 8, 2020·The British Journal of Oral & Maxillofacial Surgery·P L Moori, S Rahman
Apr 14, 2021·The British Journal of Oral & Maxillofacial Surgery·H-W ZouH-Y Chen
Apr 27, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jessica L GeigerPatrick Ha

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Methods Mentioned

BETA
dissection
sedation
dissecting

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