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Paper Information

Journal:   ARAK MEDICAL UNIVERSITY JOURNAL (AMUJ)   NOVEMBER 2013 , Volume 16 , Number 8 (77); Page(s) 0 To 0.
 
Paper: 

FREQUENCY OF FACIAL NERVE INJURY FOLLOWING PAROTIDECTOMY USING MONOPOLAR ELECTROCAUTERY IN PATIENTS WITH PAROTID MASSES

 
 
Author(s):  HOSSEINI M., GHAFARI R., KARBALAEI ESMAEILI S.*
 
* SURGERY DEPARTMENT, HAZRAT RASOOL AKRAM HOSPITAL, IRAN UNIVERSITY OF MEDICAL SCIENCES, TEHRAN, IRAN
 
Abstract: 

Background: Monitoring of facial nerve function during surgery helps surgeons to preserve the nerve during parotid gland surgery. Electromyography is currently the standard method for monitoring, however, the rates of facial nerve paresis and paralyses are 18-68% and 3%, respectively.
The disadvantages of this method include cost and lack of anywhere access to it. Unipolar alternating electric current stimulation of the facial nerve contracts the muscles and finds the nerve and avoids the damage.
Materials and Methods: In this interventional study, patients from 2009-11 using monopolar electrocautery underwent parotidectomy and one month after surgery, the facial nerve injury was examined. During the study period, twenty patients had undergone total or superficial parotid gland resection and one excluded due to facial nerve involvement before surgery.
Results: In this study, 19 patients were evaluated. The mean age of patients participating in this study was 43.1±13.9 years. A temporary palsy (5.4%) was observed and there was no paralysis.
Conclusion: Due to its availability and low cost, using electrocautery devices compared with standard facial nerve monitoring (electromyography) is beneficial and the treatment results are also satisfactory.

 
Keyword(s): ELECTROCAUTERY, FACIAL NERVE, PAROTID GLAND
 
References: 
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