Longitudinal perioperative pain, neuromusculoskeletal complications and quality-of-life assessment in partial parotidect
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HEAD AND NECK
Longitudinal perioperative pain, neuromusculoskeletal complications and quality‑of‑life assessment in partial parotidectomy Tugba Ozsoy‑Unubol1 · Suphi Bulgurcu2 · Bulent Evren Erkul2 Received: 21 June 2020 / Accepted: 22 July 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Aim The aim of this study was to evaluate the pain, neuromusculoskeletal complications, and quality of life (QoL) in patients who had undergone partial parotidectomy (PP) for benign parotid tumors. Patients and methods All patients were evaluated before (T0) and at 1 week (T1) and 1 month (T2) after surgery. The patients were assessed for cervical range of motion (ROM), neck pain (NRS), neuropathic pain (DN4), neck disability (NDI), facial disability (FDI), and the presence of facial neuropathy, and QoL. Results Twenty patients were included. A slight decrease was noted in cervical ROM, mild neck pain and disability were seen in T1. The DN4 score markedly increased at T1 (4.25) compared to T0 (0.1). Then it declined to 1.95 at T2. While there was no neuropathy in any of the patients at T0, it was present in 3 patients at T1. However, all improved at T2. QoL was negatively affected at T1 but showed improvement at T2. There was a significant correlation between NRS and NDI, FDI. Conclusion Neuromusculoskeletal problems and impaired QoL may develop in patients who have undergone PP. It would be beneficial to evaluate these patients using a multidisciplinary approach and inform them before surgery. Keywords Disability · Facial nerve · Neuropathic pain · Pain · Partial parotidectomy · Quality of life
Introduction Tumors of the parotid gland make up approximately 3% of head and neck tumors. Close to 80% of these tumors are of benign character, and the tumor type that is most commonly seen is pleomorphic adenoma [1, 2]. There are different sur‑ gical techniques for the treatment of tumors of the parotid gland. Enucleation, extracapsular dissection, and partial superficial parotidectomy are limited surgical methods. Sub‑ total, near total, total, and radical parotidectomy are more extensive surgical methods and are usually used in malignant tumors [3]. Partial parotidectomy (PP) is the ideal method for benign tumors that are limited to the superficial lobe.
Complications that are related to surgery, radiotherapy, or chemotherapy can be seen in patients with head–neck tumors [4]. The basic treatment method for benign parotid tumors is surgery, and complications may be seen at varying rates depending on the type of surgery. These complications include facial nerve paralysis, Frey’s syndrome, pain, fistula formation, problems with wound healing, and sensory defi‑ cits of the ear [5, 6]. The aim of this study is to evaluate early neuromuscu‑ loskeletal problems that can be seen in patients who have undergone PP for benign parotid tumors and to assess the quality of life (QoL) of these patients.
Patients and methods * Tugba Ozsoy‑Unubol [email protected] 1
Department of Physical Medicine and Reh
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