ABSTRACT
We evaluated the timing of complications following parotidectomy. We performed a 119-patient retrospective case series analysis over a 12-year period (1994-2006) and investigated timing of post-operative complications. 38% of temporary facial nerve palsies resolved within 1 month, 78% within 3 months and all recorded resolved within 7 months. Tumour recurrence, ranged from 5 months to 9 years post-surgery with a median of 5 years. Salivary fistula formation ranged from 3 to 45 days post-surgery with a median of 11.5 days. The development of Frey's ranged from 20 days to 22 months, median 11 months. This information can better inform clinicians and those patients undergoing parotidectomy.
Subject(s)
Facial Paralysis/etiology , Otorhinolaryngologic Surgical Procedures/adverse effects , Parotid Diseases/surgery , Parotid Gland/surgery , Salivary Gland Fistula/etiology , Adolescent , Adult , Aged , Aged, 80 and over , Biopsy , Facial Paralysis/epidemiology , Female , Follow-Up Studies , Humans , Incidence , Male , Middle Aged , Parotid Diseases/diagnosis , Parotid Gland/pathology , Postoperative Complications , Prognosis , Retrospective Studies , Risk Factors , Salivary Gland Fistula/epidemiology , Time Factors , Treatment Outcome , United Kingdom/epidemiology , Young AdultABSTRACT
Dacryocystitis is relatively common, the majority of patients present with pre-septal cellulitis and not an orbital abscess due to anatomical barriers. The authors report a case of dacryocystitis presenting as post-septal cellulitis in a postmenopausal lady with an underlying malignancy. Following antibiotic therapy and elective dacryocystorhinostomy the patient is still under follow-up, and has no further recurrence of symptoms. Orbital abscess in postmenopausal women presenting with dacryocystitis should be considered, as prompt recognition and early surgical intervention is required to prevent visual loss.
