Post-parotidectomy Facial Paresis: Intraoperative and Postoperative Factors

Mayo Clinic

Status: Completed

Conditions: Parotid Neoplasms; Facial Paralysis

Treatments: Behavioral: Facial exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT02527226

15-004441

Details and patient eligibility

About

This is a protocol to govern the prospective trial of facial nerve monitoring in patients undergoing parotidectomy with an eye towards interpreting if the facial nerve monitor provides useful information to operating surgeons and if the information provided by the facial nerve monitor can predict degrees of postoperative facial nerve paresis.

Additionally, the study will determine if performing daily facial rehabilitation exercises provides a benefit in reducing time to recovery of temporary post-parotidectomy paresis.

Enrollment: 76 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years of age or older
• Planned parotid gland surgery (superficial or total parotidectomy)
• Benign or malignant disease

Exclusion criteria

• Pregnancy
• Preoperative facial nerve dysfunction
• Revision operation
• History of preoperative radiation to the surgical field
• Entire nerve not dissected
• Intentional nerve sacrifice
• Poor signal to noise ratio during surgery
• Lack of access to device compatible with video conferencing software, or lack of access to broadband internet connection

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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76 participants in 2 patient groups

No facial exercises

No Intervention group

Description:

This group will not receive any training in facial exercises.

Facial exercises

Experimental group

Description:

This group will receive instruction to perform a series of self-administered exercises of facial expression and movements.

Treatment:

Behavioral: Facial exercises