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Introduction: Facial nerve injury is the most dreaded and most feared complication in parotid surgery, many techniques were used for its proper identification and safeguarding.
Aim: Is to compare both antegrade and retrograde facial nerve dissection regarding complications mainly facial nerve injury.
Patients and methods: We had 2 randomly divided equal groups, 18 patients each. Group A had antegrade parotidectomy and group B had retrograde parotidectomy. Patients were followed up for 1 year.
Results: Group B had shorter operative time 121±31.8 vs. 148± 22.27 min in group A. Also group B had a slight shorter hospital stay. Early facial nerve affection was less in group B 27% vs 33% in group A, and late affection was much more in group A 11% vs 0% in group B.
Conclusion: Retrograde parotidectomy is a safe and easy technique with a high safety profile in parotidectomy for benign disease.
DOI
10.21608/asjs.2019.178104
Keywords
Parotidectomy, antegrade, retrograde, Facial Palsy, nerve sparing
Authors
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Department of General Surgery, Ain Shams University, Egypt
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-Orcid
-MiddleName
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Department of General Surgery, Ain Shams University, Egypt
Email
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-Orcid
-MiddleName
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Department of General Surgery, Ain Shams University, Egypt
Email
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-Orcid
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https://asjs.journals.ekb.eg/article_178104.html
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https://asjs.journals.ekb.eg/service?article_code=178104
Publication Title
Ain Shams Journal of Surgery
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https://asjs.journals.ekb.eg/
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