Long-term quality of life and sensory impact of great auricular nerve preservation in parotid surgery as measured with the Parotidectomy Outcome Inventory-8

• Verfasst von: Bulut, Cem [VerfasserIn]
• Verfasst von: Hohenberger, Ralph [VerfasserIn]
• Verfasst von: Plinkert, Peter K. [VerfasserIn]
• Verfasst von: Federspil, Philippe A. [VerfasserIn]
• Titel: Long-term quality of life and sensory impact of great auricular nerve preservation in parotid surgery as measured with the Parotidectomy Outcome Inventory-8
• Verf.angabe: Olcay Cem Bulut, Ralph Hohenberger, Dare Oladokun, Katharina Odenwald, Peter K. Plinkert, Philippe A. Federspil
• E-Jahr: 2019
• Jahr: 17 May 2019
• Umfang: 6 S.
• Fussnoten: Gesehen am 23.09.2019
• Titel Quelle: Enthalten in: Clinical otolaryngology
• Ort Quelle: Oxford : Wiley-Blackwell, 2005
• Jahr Quelle: 2019
• Band/Heft Quelle: 44(2019), 5, Seite 743-748
• ISSN Quelle: 1749-4486
• DOI: doi:10.1111/coa.13366
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Blair's incision
• Sach-SW: great auricular nerve preservation
• Sach-SW: great auricular nerve sacrifice
• Sach-SW: parotid surgery
• Sach-SW: Parotidectomy Outcome Inventory-8
• Sach-SW: quality of life
• Sach-SW: sensory deficit
• K10plus-PPN: 1677507802

Abstract

Objectives This study aimed to evaluate sensory dysfunction resulting from great auricular nerve (GAN) sacrifice versus preservation in parotid surgery for benign lesions and its imact on long-term health-related quality of life (QOL). Design Retrospective. Setting/main outcome measures Participants were divided into two groups (GAN and non-GAN), and both short-term (two postoperative weeks) and long-term (at least 5 years) QOL were assessed. The second item of the Parotidectomy Outcome Inventory-8 (POI-8) was used to analyse postoperative sensory loss. All items of the POI-8 questionnaire were used to determine health-related QOL.We used t test for dependent samples and Mann-Whitney U-test to compare patient groups Participants A total of 137 patients (65 male and 72 female) enrolled in this study. Average age at the time of surgery was 53 years (±12.8). Results The GAN preservation group had significantly better sensation than the GAN sacrifice in short term (2.8 vs 2.1; P = 0.017). Both groups experienced improved sensation in the long term, and there was a trend towards better QOL in the GAN-preservation group. However, the difference in sensation was not statistically significant (1.7 vs 1.3; P = 0.145). Health-related QOL also increased in the long term (compared to short term) for both groups (7.6 ± 6.2 to 12 ± 7.6; P < 0.0001) postoperatively. GAN preservation did not significantly improve sensation in long term, nor did it increase health-related QOL postoperatively. Conclusion Although GAN preservation was easily feasible, it only improved sensation in short term. We report a negative result: GAN preservation did not significantly improve sensation in long-term, nor did it increase health-related QOL postoperatively when compared to GAN sacrifice.