FREQUENCY OF COMPLICATIONS IN PAROTID SURGERY.

Abstract

Objectives: To determine the frequency of complications in parotid surgery at tertiary care hospital Hyderabad. Study Design: Cross-sectional study. Setting: Liaquat University, Hyderabad in the Department of General Surgery. Period: August 2016 to December 2017. Methods: We performed retrospective analysis of 43 patients undergoing parotidectomy. All patients undergoing parotidectomy during this time period were followed up for any post-operative complications. Results: A total of 43 patients met or criteria and were reviewed for the study. Amongst them there 31 males and 12 females. 79% of patients had benign parotid tumor while 20.9% had malignant lesion of parotid.  Out of 43 patients, 41.8% (n=18) patients presented with post-operative complications. The most common complication after parotidectomy was facial palsy. Facial palsy was found in 18.6% (n=8) patients. Upon follow-up and treatment, 5 patients improved whereas patients had permanent facial palsy. Conclusion: Most of the lesions of parotid are of benign aetiology, superficial lobe is most commonly involved. Few complications are involved with parotidectomies and facial nerve palsy is the most common complications. With surgical expertise and use of nerve detector, its incidence can be reduced. Other complications of the surgery should be managed at the earliest to prevent damage.