الأهداف: من أجل تحليل نسبة حدوث اضطراب في وظيفة العصب الوجهي بعد عمليات استئصال الغدة النكفية، و لربط النتائج مع اتساع الاستئصال الجراحي المجرى على الغدة النكفية، و مع التشريح المرضي.
بين عامي 2010 و 2014، خضع 35 مريضاً لـ 35 عملية استئصال غدة نكفية، أُجريت جميع تلك العمليات من قبل الجراح نفسه و هو الطبيبة مُعدّة البحث.
النتائج: نسبة حدوث اضطراب في وظيفة العصب الوجهي بعد الجراحة كانت 37،14% بشكل عام، و عند ربط النتائج مع التشخيص و اتساع الجراحة، نجد أن نسبة اضطراب وظيفة العصب الوجهي كانت 23،1%، 30،8%، و 46،1% لكل من استئصال الفص السطحي للنكفة، استئصال النكفة التام، و استئصال النكفة التام المترافق مع تجريف عنق بالترتيب.
حدثت أذية دائمة في وظيفة العصب الوجهي عند 7،7% من المرضى، و عادت وظيفة العصب الوجهي إلى طبيعتها خلال ستة أشهر من الجراحة عند المرضى ذوي الإصابة المؤقتة.
Objectives: to analyse the incidence of facial nerve dysfunction following
parotidectomy and to correlate this with the extent of parotid gland resection, and the
pathological diagnosis.
Between 2010 – 2014, 35 patients underwent 35 parotidectomies performed by the
same surgeon.
Results: the incidence of initial postoperative facial weakness was 37,14%, based on
the diagnosis and extent of surgery, rates of facial weakness were 23,1%, 30,8% and
46,1% for superficial parotidectomy, total parotidectomy and total parotidectomy
associated with a neck dissection respectively.
Permanent weakness occurred in 7,7% of patients, recovery of normal facial
movements occurred within 6 months in all patients with initial temporary facial weakness.
References used
CUMMING, Ch. W. OTOLARYNGOLOGY HEAD & NECK SURGERY. 4th ed, mosby, USA, 2005, 2816
STELL & MARAN, J. C. HEAD and NECK SURGERY. 5th ed, Butterworth, London, 2013, 520
LORE, J. M. HEAD & NECK SURGERY. 4th ed, Elsevier, Pennsylvania, 1988,1491
Parotidectomy is a common surgical procedure associated
with some complications as well as facial asymmetry.Frey syndrome is a common
complication after protidectomy and characterized by a sweating and a flushing and/or
an erythema of the cheek ar
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