{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T19:33:49Z","timestamp":1775504029191,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,22]],"date-time":"2018-04-22T00:00:00Z","timestamp":1524355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Evaluation of patients\u2032 perspective on long\u2010term complications after superficial parotidectomy for benign lesions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A prospective nonrandomized controlled multicenter study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Three university\u2010based tertiary referral centers (Departments of Otorhinolaryngology of Cologne, Jena and Giessen; all in Germany).<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>130 adult patients, who underwent a primary superficial parotidectomy for benign tumors of the parotid gland, were consecutively included from 09\/2010 to 05\/2012. 61 patients completed every follow\u2010up examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Complications were evaluated using the validated German\u2010language questionnaire Parotidectomy Outcome Inventory 8 at six, 12 and 24\u00a0months after surgery. Pain intensity was assessed on a numeric rating scale (<jats:styled-content style=\"fixed-case\">NRS<\/jats:styled-content>) at each follow\u2010up visit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At 6\u00a0months after surgery, 90% characterized hypoesthesia as the most disturbing problem, followed by fear of revision surgery (57%) and scar (56%). Facial palsy (14%) posed the minor problem. Hypoesthesia improved significantly during the follow\u2010up period (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05), but still posed a problem for 78% of the patients after 2\u00a0years. Pain, which initially bothered 53% of the patients, significantly decreased, whereas impairment due to Frey\u2032s syndrome significantly increased during the follow\u2010up (6 vs 24\u00a0months; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.002 and <jats:italic>P<\/jats:italic>\u00a0=\u00a0.001, respectively). Scar, substance loss, xerostomia, facial palsy, and anxiety affected patients with unvarying severity during the 2\u00a0years (all <jats:italic>P<\/jats:italic>\u00a0&gt;\u00a0.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>From patients\u2032 perspective, sensation loss posed the major subjective problem after superficial parotidectomy. Appearance of the scar, and fear of revision surgery impaired more than 50% of the patients in their daily life without significant improvement during the 2\u00a0years postoperatively. Although superficial parotidectomy is a highly standardized and safe procedure, limited parotidectomy for proven benign parotid salivary gland neoplasms is more likely to result in patients with minimal or no displeasing complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13104","type":"journal-article","created":{"date-parts":[[2018,3,26]],"date-time":"2018-03-26T07:46:14Z","timestamp":1522050374000},"page":"1073-1079","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Patient\u2018s perspective on long\u2010term complications after superficial parotidectomy for benign lesions: Prospective analysis of a 2\u2010year follow\u2010up"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9019-2840","authenticated-orcid":false,"given":"P.","family":"Wolber","sequence":"first","affiliation":[{"name":"Medical Faculty Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.F.","family":"Volk","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Jena University Hospital Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Horstmann","sequence":"additional","affiliation":[{"name":"Medical Faculty Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Finkensieper","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Jena University Hospital Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Shabli","sequence":"additional","affiliation":[{"name":"Medical Faculty Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Wittekindt","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery University of Giessen Giessen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.P.","family":"Klussmann","sequence":"additional","affiliation":[{"name":"Medical Faculty Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-0784","authenticated-orcid":false,"given":"O.","family":"Guntinas\u2010Lichius","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Head and Neck Surgery Jena University Hospital Jena Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Beutner","sequence":"additional","affiliation":[{"name":"Medical Faculty Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne Germany"},{"name":"Department of Otorhinolaryngology Head and Neck Surgery University of G\u00f6ttingen G\u00f6ttingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Grosheva","sequence":"additional","affiliation":[{"name":"Medical Faculty Department of Otorhinolaryngology, Head and Neck Surgery University of Cologne Cologne 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