Email this article Features of nerve-preserving surgery for tumors of parotid region in childhood and adolescence
- Authors: Grachev N.S.1, Kalinina M.P.1, Iaremenko EY.1, Vorozhtsov I.N.1
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Affiliations:
- Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology
- Issue: Vol 17, No 1 (2018)
- Pages: 54-59
- Section: Статьи
- Submitted: 09.08.2018
- Published: 09.02.2018
- URL: https://hemoncim.com/jour/article/view/27
- DOI: https://doi.org/10.24287/1726-1708-2018-17-1-54-59
- ID: 27
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Abstract
A retrospective analysis was made in 40 patients who underwent the examination and treatment in Dmitry Rogachev National Research Center from January 2014 to July 2017. Median age at the time of surgery was 7 years (range 4 m.–18 years). All patients underwent a comprehensive examination to determine the operation type. Precision neurolysis and facial nerve preservation were carried out in all cases of the absence of macroscopic invasion of the tumor into nerve. Facial nerve monitoring during parotidectomy was used in 45% (n = 18) patients. Follow-up period varied between 3 months and 3.5 years. There was no recurrences. Frequency of immediate postoperative facial nerve paresis was 27.5% (n = 11), from which only 2,5% (n = 1) was permanent paresis. Type of surgery was the only one risk factor of postoperative facial nerve dysfunction. Thus, age, reoperation, closely spaced tumor, operating time and malignant tumors were not risk factors of intraoperative facial nerve injury. Nerve-preserving surgery showed its effectiveness, allowing the functional state of the facial nerve to be preserved without incidental injury to the radical removal of the neoplasm of the parotid chewing area especially important in childhood and adolescence.
About the authors
N. S. Grachev
Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology
Author for correspondence.
Email: nick-grachev@yandex.ru
ORCID iD: 0000-0002-4451-3233
MD, Chief surgeon, Head of the Department of pediatric oncological surgery
Russia 117997, Moscow, Samory Mashela st., 1
+7 (495) 287-6570
M. P. Kalinina
Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, ImmunologyRussian Federation
E Yu. Iaremenko
Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology
ORCID iD: 0000-0003-1196-5070
Russian Federation
I. N. Vorozhtsov
Dmitriy Rogachev National Medical Research Center of Pediatric Hematology, Oncology, Immunology
ORCID iD: 0000-0002-3932-6257
Russian Federation
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