Post Parotidectomy Quality of Life in Patients with Benign Parotid Neoplasm: A Prospective Study

  • Vipul Kumar Chaudhary
  • Digvijay Singh Rawat
  • Manish Tailor
  • Praveen Chandra Verma
  • Yogesh Aseri
  • B. K. Singh
Original Article


Parotid tumours are not uncommon. The management is surgical for benign and malignant parotid neoplasm. Due to the location of parotid gland and its intricate relationship with facial nerve, cosmetic and functional outcomes after parotid surgery are extremely important. Objectives of the study were to analyse facial nerve functions with emphasis on the quality of life of patients undergoing surgery for parotid neoplasm. A prospective study was conducted on patients presented with parotid neoplasm and undergone parotid surgery. Patient with malignant neoplasm were excluded. 30 patients with benign parotid neoplasm in final histopathology were included in the study. Post operative assessment of facial nerve was done using postparotidectomy facial nerve grading system. Symptom-specific QOL was assessed with the parotidectomy outcome inventory-8. Aesthetic outcome was evaluated with an ordinal scale. Posterior belly of digastric muscle and tragal pointer were the commonest landmark used for facial nerve identification. Temporary facial nerve dysfunction was present in six (20%) patients with marginal mandibular branch most commonly involved. 96% of the female patients and 91% of the male patients rated the cosmetic result as good or very good. A statistically significant difference is noted between superficial parotidectomy and total Parotidectomy for cosmetic outcome and sensory impairment. We noted that changed appearance due to resection of the parotid gland and scar and sensory impairment in the area affect the quality of life of patients and such affect are more after total conservative parotidectomy.


Parotidectomy Parotidectomy outcome inventory-8 POI-8 PPFNGS 



No financial funding received. Patients were treated free of cost under Chief Minister’s ‘MNDY (Mukhyamantri Nishulk Dava Yojana) scheme’ sponsored by Government of Rajasthan.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in presented study involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Zhan KY, Khaja SF, Flack AB, Day TA (2016) Benign parotid tumors. Otolaryngol Clin North Am 49(2):327–342CrossRefPubMedGoogle Scholar
  2. 2.
    Lin CC, Tsai MH, Huang CC, Hua CH, Tseng HC, Huang ST (2008) Parotid tumours: a 10 year experience. Am J Otolaryngol 29(2):94–100CrossRefPubMedGoogle Scholar
  3. 3.
    Spiro RH (1986) Salivary neoplasms: overview of a 35-year experience with 2807 patients. Head Neck Surg 8(3):177–184CrossRefPubMedGoogle Scholar
  4. 4.
    Bradley PJ (2004) Pleomorphic salivary adenoma of the parotid gland: which operation to perform? Curr Opin Otolaryngol Head Neck Surg 12(2):69–70CrossRefPubMedGoogle Scholar
  5. 5.
    Larian B (2016) Parotidectomy for benign parotid tumors. Otolaryngol Clin North Am 49(2):395–413CrossRefPubMedGoogle Scholar
  6. 6.
    Cracchiolo JR, Shaha AR (2016) Parotidectomy for parotid cancer. Otolaryngol Clin North Am 49(2):415–424CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Stodulski D, Skorek A, Mikaszewski B, Wiśniewski P, Stankiewicz C (2015) Facial nerve grading after parotidectomy. Eur Arch Otorhinolaryngol 272(9):2445–2450CrossRefPubMedGoogle Scholar
  8. 8.
    Ciuman RR, Oels W, Jaussi R, Dost P (2012) Outcome, general, and symptom-specific quality of life after various types of parotid resection. Laryngoscope 122(6):1254–1261CrossRefPubMedGoogle Scholar
  9. 9.
    Baumann I, Cerman Z, Sertel S, Skevas T, Klingmann C, Plinkert PK (2009) Development and validation of the parotidectomy outcome inventory 8 (POI-8). Measurement of quality of life after parotidectomy in benign diseases. HNO 57(9):884–888 (in German) CrossRefPubMedGoogle Scholar
  10. 10.
    Dean AG, Sullivan KM, Soe MM. OpenEpi: open source epidemiologic statistics for public health, version. Accessed 06 Apr 2013
  11. 11.
    Koch M, Zenk J, Iro H (2010) Long-term results of morbidity after parotid gland surgery in benign disease. Laryngoscope 120:724–730CrossRefPubMedGoogle Scholar
  12. 12.
    Gunsoy B, Vuralkan E, Sonbay ND, Simsek G, Tokgoz SA, Akin I (2013) Quality of life following surgical treatment of benign parotid disease. Indian J Otolaryngol Head Neck Surg 65(Suppl 1):105–111CrossRefPubMedGoogle Scholar
  13. 13.
    Gaillard C, Périé S, Susini B, St Guily JL (2005) Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope 115(2):287–291CrossRefPubMedGoogle Scholar
  14. 14.
    Mehle ME, Kraus DH, Wood BG, Benninger MS, Eliachar I, Levine HL, Tucker HM, Lavertu P (1993) Facial nerve morbidity following parotid surgery for benign disease: the Cleveland Clinic Foundation experience. Laryngoscope 103:386–388CrossRefPubMedGoogle Scholar
  15. 15.
    Ramadan MM (2003) Facial nerve morbidity following parotid surgery. Suez Canal Univ Med J 6:29–34Google Scholar
  16. 16.
    Bova R, Saylor A, Coman WB (2004) Parotidectomy: review of treatment and outcomes. ANZ J Surg 74(7):563–568CrossRefPubMedGoogle Scholar
  17. 17.
    Roh JL, Kim HS, Park CI (2007) Randomized clinical trial comparing partial parotidectomy versus superficial or total parotidectomy. Br J Surg 94(9):1081–1087CrossRefPubMedGoogle Scholar
  18. 18.
    Bianchi B, Ferri A, Ferrari S, Copelli C, Sesenna E (2011) Improving esthetic results in benign parotid surgery: statistical evaluation of facelift approach, sternocleidomastoid flap, and superficial musculoaponeurotic system flap application. J Oral Maxillofac Surg 69(4):1235–1241CrossRefPubMedGoogle Scholar
  19. 19.
    Patel N, Har-El G, Rosenfeld R (2001) Quality of life after great auricular nerve sacrifice during parotidectomy. Arch Otolaryngol Head Neck Surg 127(7):884–888PubMedGoogle Scholar
  20. 20.
    Klintworth N, Zenk J, Koch M, Iro H (2010) Postoperative complications after extracapsular dissection of benign parotid lesions with particular reference to facial nerve function. Laryngoscope 120(3):484–490CrossRefPubMedGoogle Scholar
  21. 21.
    Zhao HW, Li LJ, Han B, Liu H, Pan J (2008) Preventing post-surgical complications by modification of parotidectomy. Int J Oral Maxillofac Surg 37:345–349CrossRefPubMedGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2018

Authors and Affiliations

  1. 1.JLN Medical College and Attached HospitalAjmerIndia

Personalised recommendations