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    Wyświetlanie 1-2 z 2
    Tytuł:
    Marginal mandibular nerve injury during neck dissection of level IIa, and the influence of different types of dissection: diathermy versus cold knife
    Autorzy:
    Chiesa Estomba, Carlos
    Sistiaga Suárez, Jon
    González-García, Jose
    Larruscain-Sarasola, Ekhiñe
    Thomas Arrizabalaga, Izaskun
    Altuna Mariezcurrena, Xabier
    Powiązania:
    https://bibliotekanauki.pl/articles/1398290.pdf
    Data publikacji:
    2018
    Wydawca:
    Index Copernicus International
    Tematy:
    Neck
    Dissection
    Marginal Mandibular Nerve
    Diathermy
    Cold Knife.
    Opis:
    Introduction: Postoperative injury of the marginal mandibular branch of the facial nerve is considered a complication in neck dissection and can be related to different factors including traction, devascularisation or conduction block due to diathermy. Material and Methods: A prospective, crossover study including patients treated via bilateral selective neck dissection level IIa during a 12-month period, was performed to evaluate efficacy of the Hayes-Martin manoeuvre to prevent nerve injury during use of cold or monopolar diathermy dissection. Results: 20 patients met the inclusion criteria (40 neck dissections). Just one case of right temporal MMN weakness in the postoperative period was observed (1/40 = 2.5%). There were no cases of permanent marginal mandibular nerve weakness when using the Hayes-Martin manoeuvre. Conclusion: he Hayes-Martin manoeuvre is a safe method to preserve MMN during neck dissection level IIa, regardless of the type of dissection.
    Źródło:
    Polish Journal of Otolaryngology; 2018, 72, 4; 21-25
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
    Tytuł:
    Neurological complications and quality of life after submandibular gland resection. A Prospective, non-randomized, single-centre study
    Autorzy:
    Chiesa Estomba, Carlos
    Valldeperes-Vilanova, Ariadna
    González-García, Jose
    Larruscain-Sarasola, Ekhiñe
    Sistiaga-Suarez, Jon
    Altuna-Mariezcurrena, Xabier
    Powiązania:
    https://bibliotekanauki.pl/articles/1397732.pdf
    Data publikacji:
    2019
    Wydawca:
    Index Copernicus International
    Tematy:
    neurological complications
    salivary gland
    submandibular gland
    surgery
    Opis:
    Introduction: There are different complications related to the submandibular gland resection, like damage to the mandibular branch of the facial nerve, lingual or hypoglossal nerve. Moreover, subjective complaints like dry mouth, altered sensation around the scar and taste alterations were described. Patients and methods: A prospective, non-randomized study was performed including 20 patients treated with submandibular gland resection. Results: The most common etiology was sialolithiasis affecting 9 (45%) patients. One (5%) patient presented a lingual nerve paresis, 2 (10%) patients presented a transient marginal mandibular branch paresis and no hypoglossal nerve alteration was observed. Factors like the size of the lithiasis (P = 0.293), size of the tumor (P = 0.445) or type of pathology (P = 0.694) were not related with neurological complications. Altered sensation in the skin around a scar was the most severely weighted problem (55% and 33.3%), and xerostomia was the second one (33% and 27.3%) at one month and at six months after surgery, respectively. Conclusion: The submandibular gland resection remains to be a safe technique with a low rate of surgical and neurological complications. However, patients should be informed about sequelae like xerostomia, altered sensation in the skin or pain around the scar, which may be discomforting. The cosmetic result can be satisfactory, but a surgical scar can be avoided with another approach. Although rare, the risk of MBFN, lingual and hypoglossal nerve damage should always be included in the preoperative information on surgical risks.
    Źródło:
    Polish Journal of Otolaryngology; 2019, 73, 6; 32-37
    0030-6657
    2300-8423
    Pojawia się w:
    Polish Journal of Otolaryngology
    Dostawca treści:
    Biblioteka Nauki
    Artykuł
      Wyświetlanie 1-2 z 2

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