KBB-Forum 2020 , Cilt 19, Sayı 4


Dr. Burak ERDEN1, Dr. Mehmet Erkan KAPLAMA2, Dr. Semih AK2
1Mersin Şehir Eğitim ve Araştırma Hastanesi, Kulak Burun Boğaz Anabilimdalı, Mersin, Türkiye
2Şanlıurfa Mehmet Akif İnan Eğitim Araştırma Hastanesi, Kulak Burun Boğaz Anabilimdalı, Şanlıurfa, Türkiye
Objective: Various rating systems have been developed to evaluate the severity of paralysis in peripheral facial paralysis patients. These evaluations are made with the observation of the doctor who examined the patient. Accurate and standard evaluation is important for diagnosis and treatment. The aim of our study is to evaluate facial paralysis, developing in patients undergoing parotidectomy with the Sydney facial nerve rating system (SFNRS) and to compare facial paralysis degrees in the short and medium term.

Material and Method: The files of patients who underwent parotidectomy in our clinic were reviewed retrospectively. Facial nerve functions evaluated using SFNRS were recorded on the postoperative 1st day and postoperative 6th month.

Results: 34 patients, 24 (70.6%) male and 10 (29.4%) female, were included in the study. Superficial parotidectomy was performed in 26 (76.5%) patients and total parotidectomy was performed in 8 (23.5%) patients. In 15 (34.1%) of 34 patients, paresis or paralysis was observed on the first postoperative day. In the postoperative 6th month, paresis or paralysis was observed in 7 (% 20.5) patients. In the postoperative 6th month, 3 patients had mild synkinesia (1/3), while 2 patients had moderate synkinesia (2/3). In the evaluation made with SFNRS, a statistically significant difference was found between postoperative 1st day temporal branch, zygomatic branch, buccal branch, marginal mandibular branch and cervical branch paralysis score and postoperative 6th month paralysis scores.

Conclusion: As SFNRS makes an ideal facial paralysis rating, its usage is becoming more and more common. It can be used safely in the evaluation, monitoring and reporting of facial paralysis developing after parotidectomy. Keywords : Facial paralysis, Sydney facial nerve rating system, Parotidectomy surgery