caa a22 4500 606187502 CHVBK 20210128100841.0 cr unu---uuuuu 210128e20151101xx s 000 0 eng 10.1007/s00405-014-3342-6 doi (NATIONALLICENCE)springer-10.1007/s00405-014-3342-6 Great auricular nerve preservation in parotid surgery: rationale and long-term results insights [Elektronische Daten] [Antonio Moretti, Leonardo Citraro, Anna Petrucci, Pamela Di Giovanni, Roberta Di Mauro, Pier Giacomini] Great auricular nerve (GAN) is frequently sacrificed during parotid surgery. GAN preservation during parotidectomy is advised to avoid complications such as sensitive disorders, but debate still exists. In this study, our experience is reported on the matter. From a cohort of 173 parotidectomies carried out in the period 2005-2010, we studied 60 patients: 20 patients in which we preserved only the posterior branch of GAN (group A), 20 patients in which we preserved also the lobular branch (group B) and 20 patients in which the main trunk of GAN was sectioned (group C); we evaluated tactile sensitivity in all the skin supplied by GAN at 1week, 1month, 6months and 1year after surgery. Group B is the best in terms of loss and recovery of sensitivity after 1-year post-surgery, followed closely by group A, on the contrary group C confirmed to be the worst. Results suggest that saving as many branches of the GAN as possible during parotid surgery could be useful for reducing hypo-dysesthesia. Preserving posterior and lobular branches of the GAN, when possible, improves the sensitivity of the preauricular area with better quality of life for the patient. Springer-Verlag Berlin Heidelberg, 2014 Great auricular nerve nationallicence Parotid surgery nationallicence Sensory disorders nationallicence Dysesthesia nationallicence Moretti Antonio Department of Medical Oral and Biotechnological Sciences, ENT Section, "G. d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut Citraro Leonardo Department of Medical Oral and Biotechnological Sciences, ENT Section, "G. d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut Petrucci Anna Postgraduate School of Public Health and Preventive Medicine, "G.d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut Di Giovanni Pamela Department of Pharmacy, "G. d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut Di Mauro Roberta Department of Translational Medicine, Otolaryngology, University of Rome "Tor Vergata”, Rome, Italy aut Giacomini Pier Department of Translational Medicine, Otolaryngology, University of Rome "Tor Vergata”, Rome, Italy aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3515-3520 0937-4477 272:11<3515 2015 272 405 https://doi.org/10.1007/s00405-014-3342-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-014-3342-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Moretti Antonio Department of Medical Oral and Biotechnological Sciences, ENT Section, "G. d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut NATIONALLICENCE 700 1- Citraro Leonardo Department of Medical Oral and Biotechnological Sciences, ENT Section, "G. d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut NATIONALLICENCE 700 1- Petrucci Anna Postgraduate School of Public Health and Preventive Medicine, "G.d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut NATIONALLICENCE 700 1- Di Giovanni Pamela Department of Pharmacy, "G. d'Annunzio” University of Chieti-Pescara, Chieti, Italy aut NATIONALLICENCE 700 1- Di Mauro Roberta Department of Translational Medicine, Otolaryngology, University of Rome "Tor Vergata”, Rome, Italy aut NATIONALLICENCE 700 1- Giacomini Pier Department of Translational Medicine, Otolaryngology, University of Rome "Tor Vergata”, Rome, Italy aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/11(2015-11-01), 3515-3520 0937-4477 272:11<3515 2015 272 405