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- Title
Centripetal Versus Centrifugal Facial Nerve Dissection in Superficial Parotidectomy: Comparison of the Two Methods at a Tertiary Care Center.
- Authors
Deva, Faizah Ashfah Latief; Gupta, Anchal
- Abstract
Objectives: To compare the intraoperative and postoperative parameters of two techniques of facial nerve dissection: Centripetal vs Centrifugal. Study Design: Prospective study. Setting: Academic tertiary referral centre. Methods: In our study, cases of superficial parotidectomy were randomly selected from the outpatient departments of ORL & HNS. Of these patients, 30 underwent standard anterograde dissection group (Group A) and 30 underwent retrograde facial nerve dissection (Group B). All the patients were assessed pre-operatively, intra-operatively and post-operatively to compare the various parameters. Results: The most common complaint in both groups was parotid swelling. The operative time for A was shorter at 2.1 h as compared to 1.9 h min in group B. The resolution of symptoms was nearly comparable in both groups. Facial nerve palsy was slightly more in group B but the difference was not statistically significant. Conclusion: The operative time and post-operative complications were both comparable between AFND and RFND, implying both techniques can be used by surgeons depending on the individual cases.
- Subjects
FACIAL nerve; PAROTIDECTOMY; TERTIARY care; FACIAL paralysis; DISSECTION; SURGICAL complications; LONGITUDINAL method
- Publication
Indian Journal of Otolaryngology & Head & Neck Surgery, 2023, Vol 75, Issue 3, p1525
- ISSN
2231-3796
- Publication type
Article
- DOI
10.1007/s12070-023-03476-z