Risk of Facial Nerve Palsy Following Parotidectomy And Outcome of Facial Nerve Monitoring Using Nerve Mapper
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Introduction: Intra operative facial nerve monitoring using nerve mapper during parotid surgeryhas shown to decrease the incidence of post operative facial nerve palsy. Aims and objectives: To assess the incidence of facial nerve palsy following parotidectomy. To assess the role of intraoperative facial nervemonitors (mapper) in preventing facial palsy. Materials And Methods Study design Longitudinal study - Prospective. Study period Aug 2015 to Aug2017 Sample size 36 Inclusion criteria: All cases of parotid swellings who underwent parotid surgery at Dhanalakshmi Srinivasan Medical College & Hospital Perambalur Exclusion criteria 1) Cases <13 years of age 2) Cases with inflammatory and post traumatic parotid swellings. Conclusion: 1. Intraoperative facial nerve monitoring has shown to decrease the incidence of facial nerve palsy by 22%, even though not statistically significant. 2. Usage of intraoperative facial nerve mapper during parotidectomy is helpful for easy identification of the facial nerve trunk and branches, especially for the upcoming surgeons. 3. Intraoperative facial nerve monitoring is significantly associated with decrease in the duration of surgery.
Authors and Affiliations
Dr. Maragathamani Elangovan, Dr. P. Saravanakumar MS
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