Objective: To report the feasibility of endoscope-assisted parotidectomy with an ultrasonic scalpel.
Study Design: Randomized clinical trial.
Subjects And Methods: 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).
Results: 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).
Conclusion: Endoscope-assisted parotidectomy is a feasible technique. This procedure may serve as an alternative approach that allows a smaller incision.
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Article Synopsis
- This study looked at a surgery called parotidectomy, which is done to remove benign (non-cancerous) tumors from the parotid gland, a gland near your jaw.
- It found that a less aggressive way of doing the surgery can reduce the risk of having problems with facial nerves, which control how your face moves.
- Most tumors were found near the outside of the gland and did not come back after surgery, especially when doctors used special tools to monitor the facial nerve during the operation.
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