Issue N# 4 - 2010
Facial nerve monitoring in the parotidectomy
Authors : Pons Y, Clément P, Crambert A, Conessa C. (Paris)
Ref. : Rev Laryngol Otol Rhinol. 2010;131,4:253-256.
Article published in french
Downloadable PDF document french
Introduction: Facial palsy (FP) is a feared complication of parotidectomy. Facial nerve monitoring (FNM) has been poorly evaluated since it was created at the beginning of the 90’s. The authors described a retrospective series and discussed it reviewing the literature data. Subjects et method: From January 2002 to January 2009, 75 parotidectomies were performed in 72 patients (34 males, 38 females), without FNM in 28 cases (group 1) and with FNM in 47 cases (group 2). Results: In group 1, 9 FP were noted, 5 were transient and 4 were definitive. In group 2, 12 FP were noted, 9 were transient and 3 were definitive. Both one month and six months after parotidectomy, the FP rate was significatively higher in group 1 than in group 2 for the reoperations. Conclusions: Facial nerve monitoring is an adjunctive method available to a surgeon during parotid surgery to assist with the functional preservation of the facial nerve. It did not allow to improve the facial prognosis in benign tumours removal but it improved the facial prognosis in reoperations. Its interest should be tested for malignant tumour removal.
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