PDF(Pubmed)
Abstract：
To assess the effectiveness of intraoperative facial nerve monitoring (IFNM) compared to non-monitoring in the prevention of post-operative facial nerve palsy during superficial parotidectomy. Patients treated with curative intent for parotid gland tumors between January 2020 and January 2022 were included. The study population has been divided in 2 groups, based on IFNM: the group A included patients operated with IFNM, whilst group B was the non-monitoring group. A further classification focused on the pathologies and the surgeons\' experience. The study group included 58 patients, 27 female and 31 male. The mean age was 45.7 yr (range 36-78). No statistical difference has been found in post-operative HB grade between group A and B. The analysis of patients affected by pleomorphic surface lobe adenomas of the parotid did not show a statistical difference in HB outcome (p > 0.05). The analysis of the effect of surgeons\' experience in IFNM advantage did not show statistical difference for superficial parotid tumors. The results of the present study suggest that the use of IFNM during parotid surgery is not mandatory to preserve the VII nerve function, both in case of primary tumor and in case of recurrence, and even when surgery is performed by less experienced surgeon compared to those cases treated by a more experienced surgeon.
摘要：
目的评估术中面神经监测（IFNM）与非监测在预防腮腺浅表切除术中术后面神经麻痹的有效性。纳入2020年1月至2022年1月期间接受腮腺肿瘤治疗的患者。研究人群分为两组，基于IFNM：A组包括接受IFNM手术的患者，B组为非监测组。进一步的分类侧重于病理和外科医生的经验。研究组包括58例患者,女性27人，男性31人。平均年龄为45.7岁（36-78岁）。A组和B组术后HB分级无统计学差异。对腮腺多形性表面叶腺瘤患者的分析显示HB结果无统计学差异(p>0.05)。对外科医生在IFNM优势方面的经验的影响的分析未显示出浅表腮腺肿瘤的统计学差异。本研究的结果表明，在腮腺手术期间使用IFNM不是强制性的，以保持VII神经功能，在原发性肿瘤和复发的情况下，即使是由经验较少的外科医生进行手术，与由经验较丰富的外科医生治疗的病例相比。
