Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-28T03:09:29.074Z Has data issue: false hasContentIssue false
  • English
  • Français

The impact of radical parotidectomy with immediate facial nerve reconstruction: a quality-of-life measure

Published online by Cambridge University Press:  28 July 2021

N Subramaniam ,
E Luu ,
R Asher ,
J Oates ,
J R Clark  and
T-H Low
N Subramaniam
Affiliation:
Head and Neck Oncology, Chris O'Brien Lifehouse, Royal Prince Alfred Hospital, Camperdown, Australia
E Luu
Affiliation:
Head and Neck Oncology, Chris O'Brien Lifehouse, Royal Prince Alfred Hospital, Camperdown, Australia
R Asher
Affiliation:
National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Australia
J Oates
Affiliation:
Head and Neck Oncology, Chris O'Brien Lifehouse, Royal Prince Alfred Hospital, Camperdown, Australia
J R Clark
Affiliation:
Head and Neck Oncology, Chris O'Brien Lifehouse, Royal Prince Alfred Hospital, Camperdown, Australia Central Clinical School, Sydney University, Australia
T-H Low*
Affiliation:
Head and Neck Oncology, Chris O'Brien Lifehouse, Royal Prince Alfred Hospital, Camperdown, Australia
*
Author for correspondence: Dr Tsu-Hui (Hubert) Low, Department of Head and Neck Oncology, Chris O'Brien Lifehouse, Royal Prince Alfred Hospital, 50 Missenden Rd, CamperdownNSW2050, Australia Email: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Immediate facial nerve reconstruction is the standard of care following radical parotidectomy; however, quality of life comparisons with those undergoing limited superficial parotidectomy without facial nerve sacrifice is lacking.

Method

Patients who underwent parotidectomy were contacted to determine quality of life using the University of Washington Quality of Life and Parotidectomy Specific Quality of Life questionnaires. A total of 29 patients (15 in the radical parotidectomy and 14 in the limited superficial parotidectomy groups) completed and returned questionnaires.

Results

Using the University of Washington Quality of Life Questionnaire, similar quality of life was noted in both groups, with the radical parotidectomy group having significantly worse speech and taste scores. Using the Parotidectomy Specific Quality of Life Questionnaire, the radical parotidectomy group reported significantly worse speech, eye symptoms and eating issues.

Conclusion

Those undergoing radical parotidectomy with reconstruction had comparable overall quality of life with the limited superficial parotidectomy group. The Parotidectomy Specific Quality of Life Questionnaire better identified subtle quality of life complaints. Eye and oral symptoms remain problematic, necessitating better rehabilitation and more focused reconstructive efforts.

Keywords

ParotidectomyFacial NerveFacial ParalysisQuality Of LifeParotid Neoplasm
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 9 , September 2021 , pp. 804 - 809
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr T-H Low takes responsibility for the integrity of the content of the paper

References

Speight, PM, Barrett, AW. Prognostic factors in malignant tumours of the salivary glands. Br J Oral Maxillofac Surg 2009;47:587–93CrossRefGoogle ScholarPubMed
Thielker, J, Grosheva, M, Ihrler, S, Wittig, A, Guntinas-Lichius, O. Contemporary management of benign and malignant parotid tumors. Front Surg 2018;5:39CrossRefGoogle ScholarPubMed
Erkan, AN, Yavuz, H, Ozer, C, Ozer, F, Ozluoglu, L. Quality of life after surgery for benign disease of the parotid gland. J Laryngol Otol 2008;122:397–402CrossRefGoogle ScholarPubMed
Ch'ng, S, Ashford, BG, Gao, K, McGuinness, J, Clark, JR. Reconstruction of post–radical parotidectomy defects. Plastic and reconstructive surgery 2012;129:275e–87eCrossRefGoogle Scholar
Hasmat, S, Lovell, NH, Suaning, GJ, Low, TH, Clark, J. Restoration of eye closure in facial paralysis using implantable electromagnetic actuator. J Plast, Reconstr Aesthetic Surg 2016;69:1521–5CrossRefGoogle ScholarPubMed
Leong, SC, Lesser, TH. A national survey of facial paralysis on the quality of life of patients with acoustic neuroma. Otol Neurotol 2015;36:503–9CrossRefGoogle ScholarPubMed
Fu, L, Bundy, C, Sadiq, SA. Psychological distress in people with disfigurement from facial palsy. Eye (Lond) 2011;25:1322CrossRefGoogle ScholarPubMed
Hassan, S J, Weymuller, EA. Assessment of quality of life in head and neck cancer patients. Head Neck 1993;15:485–496CrossRefGoogle ScholarPubMed
Lee, M. Development of a treatment specific patient reported outcome measure to quantify symptom burden and functional interference in patients undergoing parotidectomy and adjuvant therapy for malignant diseases of the parotid salivary gland. Thesis. Australia: University of Sydney, 2014.Google Scholar
Irune, E, Dwivedi, RC, Nutting, CM, Harrington, KJ. Treatment-related dysgeusia in head and neck cancer patients. Cancer Treat Rev 2014;40:1106–17CrossRefGoogle ScholarPubMed
Hontanilla, B, Marre, D, Cabello, Á. Facial reanimation with gracilis muscle transfer neurotized to cross-facial nerve graft versus masseteric nerve: a comparative study using the FACIAL CLIMA evaluating system. Plast Reconstr Surg 2013;131:1241–52CrossRefGoogle ScholarPubMed
Vásquez, LM, Medel, R. Lagophthalmos after facial palsy: current therapeutic options. Ophthalmic Res 2014;52:165–9CrossRefGoogle ScholarPubMed
Biglioli, F. Facial reanimations: part I—recent paralyses. Br J Oral Maxillofac Surg 2015;53:901–6CrossRefGoogle ScholarPubMed
Lee, V, Currie, Z, Collin, JR. Ophthalmic management of facial nerve palsy. Eye 2004;18:1225CrossRefGoogle ScholarPubMed
Hasmat, S, Lovell, NH, Suaning, GJ, Low, TH, Clark, J. Restoration of eye closure in facial paralysis using implantable electromagnetic actuator. J Plast Reconstr Aesthet Surg 2016;69:1521–5CrossRefGoogle ScholarPubMed