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Head & neck v.39 no.3, 2017년, pp.520 - 526   SCI SCIE
본 등재정보는 저널의 등재정보를 참고하여 보여주는 베타서비스로 정확한 논문의 등재여부는 등재기관에 확인하시기 바랍니다.

Sensation loss after superficial parotidectomy: A prospective controlled multicenter trial

Grosheva, Maria (Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Cologne, Germany ) ; Shabli, Sami (Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Cologne, Germany ) ; Volk, Gerd Fabian (Department of Otorhinolaryngology, Head and Neck Surgery, Jena University Hospital, Jena, Germany ) ; Sommer, Barbara (Department of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen, Germany ) ; Ludwig, Laura (Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, Cologne, Germany ) ; Finkensieper, Mira (Department of Otorhinolaryngology, Head and Neck Surgery, Jena University Hospital, Jena, Germany ) ; Wittekindt, Claus (Department of Otorhinolaryngology, Head and Neck Surgery, University of Giessen, Giessen, Germany ) ; Klussmann, Jens Peter (Department of Otorhinolaryngology, ) ; Guntinas–Lichius, Orlando ; Beutner, Dirk ;
  • 초록  

    ABSTRACT Background The purpose of this study was to evaluate the occurrence of hypoesthesia after superficial parotidectomy depending on preservation of posterior branch of the great auricular nerve (GAN). Methods This prospective, controlled, double blind, multicenter trial included 130 patients. The posterior branch was preserved in 93 patients (GAN group), and ligated in 33 patients (non‐GAN group). In 4 patients, GAN status was unknown. Included patients underwent sensory testing (TouchTest) and subjective evaluation at 6, 12, and 24 months after surgery. Results Better improvement of sensation was present in the GAN group. After 12 months, 59% of the patients in the GAN‐group showed positive test results in the lobule, versus 24% of the non‐GAN group ( p = .013). Additionally, after 24 months, 71% of the patients in the GAN‐group showed a positive test in the antitragus, versus 31% in the non‐GAN group ( p = .045). Hypoesthesia equally limited quality of life in both groups (all p > .05). Conclusion Preservation of the posterior branch of the GAN led to significantly better improvement of sensation in the lobule and antitragus, and should be recommended during parotidectomy. ⓒ 2017 Wiley Periodicals, Inc. Head Neck 39: 520–526, 2017


  • 주제어

    sensation loss .   superficial parotidectomy .   great auricular nerve .   prospective trial.  

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