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Objectives <p>This study investigates the clinical and patient-reported outcomes of full-endoscopic parotidectomy compared to the conventional approach.</p> Methods <p>Between July 2021 and December 2023, patients who underwent parotidectomy were prospectively enrolled and assigned to either the full-endoscopic parotidectomy group (Group I) or the conventional surgery group (Group II). Clinical outcomes were evaluated, and patient-reported outcomes were assessed using a Visual Analogue Scale and five FACE-Q scales.</p> Results <p>A total of 293 patients were prospectively included, with 146 in the full-endoscopic group and 147 in the conventional group. Blood loss was significantly lower in the full-endoscopic group (regression coefficient, 0.61; 95% CI, 0.15 to 1.07), as was the rate of immediate facial paralysis (0.76; 95% CI, 0.25 to 1.27). The full-endoscopic group also showed superior outcomes on the Visual Analogue Scale (− 0.14; 95% CI, − 0.23 to − 0.05) and FACE-Q scales for Appearance-Related Psychosocial Distress (1.15; 95% CI, 0.59 to 1.71), Social Function (− 0.37; 95% CI, − 0.59 to − 0.15), Satisfaction with Facial Appearance (− 0.44; 95% CI, − 0.64 to − 0.23), Psychological Function (− 0.39; 95% CI, − 0.58 to − 0.20), and Satisfaction With Outcome (− 0.42; 95% CI, − 0.66 to − 0.19).</p> Conclusions <p>Full-endoscopic parotidectomy yields less blood loss and a reduced incidence of immediate facial paralysis compared to conventional surgery. Patients undergoing full-endoscopic parotidectomy reported better aesthetic and psychological outcomes.</p> Clinical relevance <p>The combined analysis of clinical and patient-reported outcomes is valuable in guiding surgical planning. These findings provide valuable insights for patients considering full-endoscopic parotidectomy and underscore the importance of addressing functional, aesthetic, and psychological aspects for both patients and healthcare providers.</p>

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Clinical and patient-reported outcomes between full-endoscopic and conventional parotidectomy: a prospective cohort study

  • 期刊论文

  • 发表日期：

    2025年1月7日

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  • Su Chen,
  • Yun-cong Huang,
  • Ze-kang Su,
  • Fan Yang,
  • Grace Paka Lubamba,
  • Anand Gupta,
  • Khaled Alkebsi,
  • Zhi-yan Zhang,
  • Zhuang Zhang,
  • Hui Xia,
  • Yong-qing Zhang,
  • Chun-jie Li,
  • Ming Xuan,
  • Xiu-fa Tang,
  • Gui-quan Zhu

摘要

Objectives

This study investigates the clinical and patient-reported outcomes of full-endoscopic parotidectomy compared to the conventional approach.

Methods

Between July 2021 and December 2023, patients who underwent parotidectomy were prospectively enrolled and assigned to either the full-endoscopic parotidectomy group (Group I) or the conventional surgery group (Group II). Clinical outcomes were evaluated, and patient-reported outcomes were assessed using a Visual Analogue Scale and five FACE-Q scales.

Results

A total of 293 patients were prospectively included, with 146 in the full-endoscopic group and 147 in the conventional group. Blood loss was significantly lower in the full-endoscopic group (regression coefficient, 0.61; 95% CI, 0.15 to 1.07), as was the rate of immediate facial paralysis (0.76; 95% CI, 0.25 to 1.27). The full-endoscopic group also showed superior outcomes on the Visual Analogue Scale (− 0.14; 95% CI, − 0.23 to − 0.05) and FACE-Q scales for Appearance-Related Psychosocial Distress (1.15; 95% CI, 0.59 to 1.71), Social Function (− 0.37; 95% CI, − 0.59 to − 0.15), Satisfaction with Facial Appearance (− 0.44; 95% CI, − 0.64 to − 0.23), Psychological Function (− 0.39; 95% CI, − 0.58 to − 0.20), and Satisfaction With Outcome (− 0.42; 95% CI, − 0.66 to − 0.19).

Conclusions

Full-endoscopic parotidectomy yields less blood loss and a reduced incidence of immediate facial paralysis compared to conventional surgery. Patients undergoing full-endoscopic parotidectomy reported better aesthetic and psychological outcomes.

Clinical relevance

The combined analysis of clinical and patient-reported outcomes is valuable in guiding surgical planning. These findings provide valuable insights for patients considering full-endoscopic parotidectomy and underscore the importance of addressing functional, aesthetic, and psychological aspects for both patients and healthcare providers.