Abstract：
Objectives: This study aimed to determine the prevalence of complications after parotidectomy and identify factors associated with these complications. Methods: Data from patients who underwent parotidectomy for neoplasms in 2 tertiary centers were analyzed. Patient characteristics and postoperative complications were collected. Demographics, diabetes, and smoking status were evaluated using descriptive statistics. The prevalence of complications was determined and associations with smoking, surgical type, preoperative facial nerve involvement, final pathology, and Milan category were examined using chi-squared and correlation analyses. Results: Majority of patients were male (59.5%), falling within the age range of 31 to 50 years (42.7%). The most common complication was facial nerve weakness (23.6%), followed by seroma (19.1%), ear numbness (17.3%), and tumor recurrence (8.7%). Xerostomia demonstrated a correlation with smoking, while more invasive types of surgery showed associations with surgical site infection and tumor recurrence. Malignant disease on the final pathology and higher Milan category exhibited links with salivary fistula. No clear associations were found between preoperative facial nerve involvement and any of the complications. Age and body mass index (BMI) did not demonstrate significant correlations with complications. Conclusions: This study highlights the prevalence and associations of postparotidectomy complication. Facial nerve weakness was the most common followed by seroma and ear numbness. Smoking was correlated with xerostomia, while more invasive type of surgery was correlated with infection and recurrence. Age and BMI did not have associations. Personalized approaches and understanding factors for effective management are important. Further research is recommended to validate the outcome and understand the recovery from parotidectomy.
摘要：
目的：本研究旨在确定腮腺切除术后并发症的发生率，并确定与这些并发症相关的因素。方法：分析了在2个三级中心接受腮腺肿瘤切除术的患者的数据。收集患者特征和术后并发症。人口统计,糖尿病,和吸烟状况使用描述性统计进行评估。确定并发症的发生率以及与吸烟的关系，手术类型,术前涉及面神经,最终病理学，和米兰类别进行了卡方和相关分析。结果：大多数患者为男性（59.5%），年龄范围为31至50岁(42.7%)。最常见的并发症是面神经无力（23.6%），其次是血清肿（19.1％），耳朵麻木（17.3%），肿瘤复发（8.7%）。口干症与吸烟有关，而更具侵入性的手术类型显示与手术部位感染和肿瘤复发有关。最终病理和更高米兰类别的恶性肿瘤与唾液瘘有关。术前面神经受累与任何并发症之间均未发现明显关联。年龄和体重指数（BMI）与并发症没有显着相关性。结论：本研究强调了腮腺切除术后并发症的患病率和相关性。最常见的是面神经无力，其次是血清肿和耳朵麻木。吸烟与口干症有关,而更具侵入性的手术类型与感染和复发相关。年龄和BMI没有关联。个性化的方法和有效管理的理解因素是重要的。建议进一步研究以验证结果并了解腮腺切除术的恢复情况。
