Servicio de Otorrinolaringología - Cirugía de Cabeza y Cuello, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, España.
Servicio de Otorrinolaringología - Cirugía de Cabeza y Cuello, Hospital Universitario Donostia, San Sebastián, Guipúzcoa, España.
Acta Otorrinolaringol Esp (Engl Ed). 2021 May-Jun;72(3):158-163. doi: 10.1016/j.otorri.2020.03.004. Epub 2020 Nov 23.
Facial nerve injury remains the most severe complication of parotid gland surgery. Due to the increasing evidence about the advantage of the use of intraoperative facial nerve monitoring, a survey was distributed among members of the Spanish Society of Otorhinolaryngology-Head and Neck Surgery with the objective of determining patterns of its use.
A questionnaire which included 12 separate questions in 3 sections was distributed via email through the official email of the Spanish Society of Otorhinolaryngology-Head and Neck Surgery. The first section of questions was in relation to demographic characteristics, the second section was related to the pattern of monitoring use and the third section referred to litigation related to facial palsy.
1544 anonymous questionnaires were emailed. 255 surveys were returned, giving an overall response rate of 16.5%. From these, 233 (91.3%) respondents perform parotid gland surgery. Two-hundred nineteen (94%) respondents use intraoperative facial nerve monitoring. Of the respondents,94% used intraoperative facial nerve monitoring if in their current practice they performed fewer than 10 parotidectomies per year and 93.8% if they performed more than 10 (OR, 1.02; 95% CI, 0.68-1.45; p=.991). With regard to lawsuits, just 3 (1.2%) of the respondents had a history of a parotid gland surgery-associated lawsuit and in just one case the facial nerve monitor was not used.
Our data demonstrate that most otolaryngologists in Spain use intraoperative facial nerve monitoring during parotid gland surgery. Almost all of them use it to improve patient safety and consider that facial nerve monitoring should be helpful preventing inadvertent injury.
面神经损伤仍然是腮腺手术最严重的并发症。由于越来越多的证据表明术中面神经监测的使用具有优势，因此对西班牙耳鼻喉科学会-头颈外科学会的成员进行了一项调查，目的是确定其使用模式。
通过西班牙耳鼻喉科学会-头颈外科学会的官方电子邮件，以电子邮件的形式分发了一份包含 12 个独立问题的问卷，分为 3 个部分。第一个部分的问题与人口统计学特征有关，第二个部分与监测使用模式有关，第三个部分与面瘫相关的诉讼有关。
共发送了 1544 份匿名问卷，回收了 255 份，总体回复率为 16.5%。在这些人中，233 人（91.3%）进行腮腺手术。219 人（94%）使用术中面神经监测。在回答者中，如果他们每年进行的腮腺切除术少于 10 例，则有 94%的人会使用术中面神经监测，如果他们进行的腮腺切除术超过 10 例，则有 93.8%的人会使用术中面神经监测（OR，1.02；95%CI，0.68-1.45；p=.991）。关于诉讼，只有 3 名（1.2%）受访者有与腮腺手术相关的诉讼史，且仅在一个案例中未使用面神经监测器。
我们的数据表明，西班牙的大多数耳鼻喉科医生在腮腺手术中使用术中面神经监测。他们几乎都使用它来提高患者的安全性，并认为面神经监测有助于防止意外损伤。
