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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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Patient-Initiated Communication After Parotidectomy.

Andrew D P Prince1, Kimberly Oslin1,2, David Forner1

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The Laryngoscope
|October 17, 2024
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Patient-initiated communication occurred in 33.9% of parotidectomy cases. Swelling and wound concerns were most common, highlighting opportunities to improve postoperative care and patient satisfaction.

Keywords:
head and neckparotidectomypostoperative communication

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Patient Communication

Background:

  • Parotidectomy is a common surgical procedure for parotid gland tumors.
  • Effective postoperative communication is crucial for patient recovery and satisfaction.
  • Understanding patient-initiated communication patterns can identify areas for care improvement.

Purpose of the Study:

  • To determine the incidence of patient-initiated communication following parotidectomy.
  • To identify patient and surgical factors associated with this communication.
  • To evaluate trends and potential improvements in perioperative care.

Main Methods:

  • Retrospective cohort study of 363 patients undergoing parotidectomy (2018-2022).
  • Analysis of patient communications within 30 days of discharge via electronic medical records.
  • Categorization of communications into surgeon action, staff instruction, or reassurance.

Main Results:

  • 33.9% of patients initiated postoperative communication.
  • Swelling (47.2%) and wound concerns (15.4%) were the most frequent reasons.
  • Switching to outpatient surgery increased communication likelihood (OR=2.635).
  • Swelling, male sex, prior smoking, and cancer predicted the need for surgeon action.

Conclusions:

  • Patient-initiated communication is frequent after parotidectomy, offering insights into care gaps.
  • Addressing swelling and wound issues proactively can reduce patient contact.
  • Improving perioperative care can enhance patient satisfaction and decrease healthcare burden.