Complications in the surgery of the parotid salivary glands. Causes, mechanisms of development, methods of prevention

Chkadua T.Z.; Visaitova Z.Yu.; Vereshchagina N.V.

doi:https://doi.org/10.17116/stomat202210104168

Chkadua T.Z.

National Medical Research center for Stomatology and Maxillofacial surgery

SPIN RSCI: 8514-1650
Scopus AuthorID: 36130854500
ORCID: 0000-0001-8270-8843

Visaitova Z.Yu.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-6029-4691

Vereshchagina N.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

Complications in the surgery of the parotid salivary glands. Causes, mechanisms of development, methods of prevention

Authors:

Chkadua T.Z., Visaitova Z.Yu., Vereshchagina N.V.

More about the authors

Journal: Stomatology. 2022;101(4): 68‑73

DOI: 10.17116/stomat202210104168

Read: 18027 times

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To cite this article:

Chkadua TZ, Visaitova ZYu, Vereshchagina NV. Complications in the surgery of the parotid salivary glands. Causes, mechanisms of development, methods of prevention. Stomatology. 2022;101(4):68‑73. (In Russ.)
https://doi.org/10.17116/stomat202210104168

Подписка 2026 Стоматология (Stomatology)

Использование инфографики авторами научных работ

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Abstract:

Operations for neoplasms of the parotid salivary gland require from the surgeon a deep knowledge of the anatomical and topographic features of this area and technical skill, which puts it in a number of «jewelry» operations that require patience and concentration. The review is devoted to the topic of specific postoperative complications after parotidectomy or subtotal resection of the gland. These include relapses of tumors, paralysis or paresis of facial muscles, Frey syndrome, salivary fistulas or sialocele, violation of skin sensitivity, soft tissue deformity. The review presents the frequency and causes of complications, mechanisms of their development, methods of prevention and elimination.

Keywords:

parotid salivary gland

Frey syndrome

paralysis of facial muscles

salivary fistula

parotidectomy

Authors:

Chkadua T.Z.

National Medical Research center for Stomatology and Maxillofacial surgery

SPIN RSCI: 8514-1650
Scopus AuthorID: 36130854500
ORCID: 0000-0001-8270-8843

Visaitova Z.Yu.

Central Research Institute of Dentistry and Maxillofacial Surgery

ORCID: 0000-0002-6029-4691

Vereshchagina N.V.

Central Research Institute of Dentistry and Maxillofacial Surgery

Received:

11.02.2022

Accepted:

16.05.2022

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References:

Paches AI. Opuholi golovy i shei. M.: Izdatel’stvo Prakticheskaya medicina; 2013. (In Russ.).
Amin A, Mostafa A, Rifaat M, et al. Parotidectomy for benign parotid tumors: an aesthetic approach. J Egypt Natl Canc Inst. 2011;23:67-72. https://doi.org/10.1016/j.jnci.2011.09.005
Armando De V, et al. Different Surgical Strategies in the Prevention of Frey Syndrome: A Systematic Review and Meta-analysis. The Laryngoscope. 2021; 131(8):1761-1768. https://doi.org/10.1002/lary.29414
Gary L. Ellis, Paul L. Auclair, Douglas R. Gnepp. Surgical Pathology of the Salivary Glands. 608 pages with illustrations. W.B. Saunders, Philadelphia; 2016.
El-Naggar AK, Chan JKC, Grandis JR, Takata T, Slootweg PJ, editors. Tumours of salivary glands. In: WHO classification of head and neck tumours, 4th ed. Lyon: IARC; 2017;159-202.
Hellquist, et al. Analysis of the Clinical Relevance of Histological Classification of Benign Epithelial Salivary Gland Tumours. Advances in Therapy. 2019;36(8):1950-1974.
Thackray AC, Sobin LH, editors. Histological typing of salivary gland tumours. Geneva: WHO; 1972.
Israel Y, Rachmiel A, Ziv G, Nagler R. Benign and Malignant Salivary Gland Tumors — Clinical and Demographic Characteristics. Anticancer Res. 2016;36(8):4151-4154.
Seifert G, Brocheriou C, Cardesa A, Eveson JW. WHO international histological classification of tumours. Tentative histological classification of salivary gland tumours. Pathol Res Pract. 1990;186:555-581.
Seifert G, Sobin LH, editors. Histological typing of salivary gland tumours. In: WHO international histological classification of tumours. 2nd ed. Berlin: Springer; 1991.
Seethala RR, Stenman G. Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Tumors of the Salivary Gland, 28 February 2017, Springer Science+Business Media, New York; 2017.
Knighta J, Ratnasinghamb K. Metastasising pleomorphic adenoma: Systematic review. International Journal of Surgery. 2015;19:137-145.
Kalina VO, SHuster MA. Perifericheskie paralichi licevogo nerva. M.: Izdatel’stvo Medicina; 1970. (In Russ.).
Nerobeev AI, Libin PV. Total’noe udalenie okoloushnoj slyunnoj zhelezy pri obshirnoj opuholi glotochnogo otrostka s sohraneniem vetvej licevogo nerva. Stomatologiya. 2014;93:47-48. (In Russ.). https://doi.org/10.17116/stomat201493647-48
Lambiel S, Dulguerov N, Courvoisier DS, Dulguerov P. Minor Parotidectomy Complications: A Systematic Review. Laryngoscope. 2021;131(3):571-579. https://doi.org/10.1002/lary.28912
Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A. Treatment of complications of parotid gland surgery. Acta Otorhinolaryngol Ital. 2005; 25(3):174-178.
Chan LS, Barakate MS, Havas TE. Free fat grafting in superficial parotid surgery to prevent Frey’s syndrome and improve aesthetic outcome. J Laryngol Otol. 2014;128:44-49.
Grzybowski A, Sak J. Lucja Frey (1889—1942): life destroyed by the Holocaust — on the 70th anniversary of her death. Clin Dermatol. 2012;30(3):355-359. PMID: 22641864. https://doi.org/10.1016/j.clindermatol.2011.11.017
Wu K, Zhu K, Ye Y, Li S, Wu H, Zhang S. The use of bipolar coagulation forceps prevented salivary fistula in patients with parotidectomy: a retrospective study. BMC Oral Health. 2021;21(1):387. PMID: 34362348; PMCID: PMC8349025. https://doi.org/10.1186/s12903-021-01750-6
Reich S, Grill S. Gustatory sweating: Frey syndrome. Neurology. 2005;65:E24. https://doi.org/10.1212/01.wnl.0000182298.85958.46
Choi J, Park SI, Rha EY, Seo BF, Kwon H, Jung SN. Acellular dermal matrix (Insuregraf) in the prevention of Frey’s syndrome and surgical site depression after parotidectomy. Arch Craniofac Surg. 2019;20:176-180. https://doi.org/10.7181/acfs.2019.00248
Durgut O, Basut O, Demir UL, Ozmen OA, Kasapoglu F, Coskun H. Association between skin flap thickness and Frey’s syndrome in parotid surgery. Head Neck. 2013;35:1781-1786.
Young A, Okuyemi OT. Benign Salivary Gland Tumors. 2022 Feb 16. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. PMID: 33231965. https://www.ncbi.nlm.nih.gov/books/NBK564295/
Infante-Cossio P, Gonzalez-Cardero E, Garcia-Perla-Garcia A, Montes-Latorre E, Gutierrez-Perez JL, Prats-Golczer VE. Complications after superficial parotidectomy for pleomorphic adenoma. Med Oral Patol Oral Cir Bucal. 2018;23(4):485-492. PMID: 29924764; PMCID: PMC6051677. https://doi.org/10.4317/medoral.22386
Moretti A, Citraro L, Petrucci AG, Di Giovanni P, Di Mauro R, Giacomini PG. Great auricular nerve preservation in parotid surgery: rationale and long-term results insights. Eur Arch Otorhinolaryngol. 2015;272(11): 3515-3520. https://doi.org/10.1007/s00405-014-3342-6
Wang WH, Zhu J, Li M, Xia B, Xu B. Usefulness of platysma muscle flap following superficial parotidectomy. Craniomaxillofac Surg. 2013;41:10-14. https://doi.org/10.1016/j.jcms.2012.05.002.
Zenke J, Alenazi A, Sommerfeld C. Long-term results of a Pedicled and innervated sternocleidomastoid muscle flap to immediately reconstruct superficial parotidectomy defects. Facial Plast Surg Aesthet Med. 2020;22:420-426. https://doi.org/10.1089/fpsam.2020.0073