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Sensory dysfunction and quality of life after great auricular nerve sacrifice during parotidectomy: our experience

Published online by Cambridge University Press:  12 August 2015

J Galli ,
M Pandolfini ,
M Rigante ,
L Schinaia ,
M L Guidi ,
G Almadori  and
G Paludetti
J Galli*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Catholic University of the Sacred Heart, Rome, Italy
M Pandolfini
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Catholic University of the Sacred Heart, Rome, Italy
M Rigante
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Catholic University of the Sacred Heart, Rome, Italy
L Schinaia
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Catholic University of the Sacred Heart, Rome, Italy
M L Guidi
Affiliation:
Department of Anaesthesiology, Catholic University of the Sacred Heart, Rome, Italy
G Almadori
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Catholic University of the Sacred Heart, Rome, Italy
G Paludetti
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, Catholic University of the Sacred Heart, Rome, Italy
*
Address for correspondence: Prof. J Galli, Department of Otolaryngology – Head and Neck Surgery, Catholic University of the Sacred Heart, Largo A. Gemelli 8, 00168 Rome, Italy Fax: +39-063-051194 E-mail: jacopo.galli@rm.unicatt.it
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Abstract

Objective:

This study aimed to investigate the impact on patients' quality of life of great auricular nerve sacrifice during parotidectomy.

Methods:

A retrospective review was conducted of 191 consecutive patients who underwent parotidectomy with great auricular nerve sacrifice between 2006 and 2011. Residual sensory dysfunction and its impact on quality of life was analysed using an eight-item quality of life survey.

Results:

In all, 139 out of 191 patients (72.8 per cent) experienced one or more abnormal sensations in the ear or neck region after surgery. There was a moderate inverse correlation between the number of abnormal sensations and time elapsed since surgery. Moreover, the degree of discomfort correlated significantly with the frequency of symptom occurrence (p < 0.001), duration of the abnormal sensation (p < 0.001) and size of the affected area (p < 0.001).

Conclusion:

Sacrifice of the great auricular nerve has only a small impact on patient quality of life; their daily activities are not significantly affected.

Keywords

Quality of LifeParotid NeoplasmsSensory Deprivation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 11 , November 2015 , pp. 1121 - 1127
Copyright
Copyright © JLO (1984) Limited 2015 

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