Superficial Parotidectomy: The principle of surgery is to expose the facial nerve and then remove the superficial lobe of parotid gland and tumour around the facial nerve. 6 For parotid malignancies requiring deep lobe dissection: A Parotidectomy Surgery sometimes interferes with the facial nerve. MRI can be used to identify the locations of FBCA and the parotid, which can aid surgeons in predicting the relationship between the lesion and the facial nerve. A 6 month follow-up showed partial facial movement recovery and the facial defect mended. Two-Year Certification Cycle - CSFAs Certified Surgical First Assistants (CSFA) must earn 38 CE credits, including 8 defined as live, before their two-year cycle 4 days ago · Surgical Technique Considerations Facial nerve preservation should be prioritized when oncologically safe, as this does not increase first bite syndrome risk but significantly impacts quality of life. Nov 2, 2022 · A subplatysmal flap is raised and careful dissection of the parotid gland is performed (Fig. OBJECTIVE To compare facial nerve function and perioperative outcomes among antegrade, retrograde, and extracapsular parotidectomy approaches in benign and malignant tumors. clevelandclinic. total) and tumor proximity to nerve branches 1 4 days ago · Surgical Technique Considerations Facial nerve preservation should be prioritized when oncologically safe, as this does not increase first bite syndrome risk but significantly impacts quality of life. In this fashion the mass was completely removed along with a cuff of normal-appearing parotid tissue on all sides with grossly negative margins. Sacrifice of the facial nerve results to both functional and aesthetic deficits. Parotidectomies may only remove the superficial lobe, however If there is significant invasive disease then a total parotidectomy may be performed (i. Jan 7, 2026 · Endoscopic-assisted techniques improved visualization, protected the facial nerve, and achieved superior cosmetic outcomes. Jan 16, 2026 · Facial nerve preservation is standard Total parotidectomy rarely required Neck dissection: Not indicated Adjuvant therapy: None Prognosis: Excellent Recurrence is uncommon and usually reflects: Multifocal disease Development of a new metachronous WT Long-term survival equivalent to general population Key Teaching Points for Surgeons: Complications after superficial parotidectomy for pleomorphic adenoma The significance of complications after superficial parotidectomy remains unclear, since prospective studies are lacking. org Facial nerve injury is a common risk associated with parotidectomy. Retrograde Parotidectomy Which Facial branch to follow?particularly useful when standard facial nerve landmarks are unreliable or obscure, including:Large For tumours with affected facial nerve the treatment of choice is radical parotidectomy, which entails resection of the nerve along with the parotid gland [1]. Radical parotidectomy: Due to cancer involvement, the entire gland and other soft tissues are removed, including sacrificing the facial nerve — meaning it needs to be cut. org. Sep 28, 2018 · Results In the majority of cases the facial nerve is not involved by tumor. If a total parotidectomy is indicated, the procedure is extended by meticulous dissection of the main trunk and the branches of the facial nerve from the underlying parotid tissue in a gentle and atraumatic fashion. e. 1). Two-Year Certification Cycle - CSFAs Certified Surgical First Assistants (CSFA) must earn 38 CE credits, including 8 defined as live, before their two-year cycle Conclusion: A thorough familiarity with the anatomy of the facial nerves, along with state-of-the-art preoperative imaging and intraoperative nerve monitoring, considerably lessens the likelihood of nerve damage, surgical duration, and postoperative problems after parotidectomy. 6 For parotid malignancies requiring deep lobe dissection: After the time of enucleations, pleomorphic adenomas of parotid gland were recommended to be routinely treated with superficial or total parotidectomy. Keywords: Facial monitoring, facial nerve, parotidectomy Return to: Salivary Gland Surgery ProtocolsSee also Shaw Hemostatic Scalp for Parotidectomy (video)Preservation of branch of Great Auricular NerveWarthins tumor 'shell out' with facial nerve monitoringCase Example Resection of Parotid Wharthins Tumor without Facial Nerve DissectionParotid Duct In patients with total parotidectomy, close contact of the tumor with the facial nerve was found to have statistical causal relation with facial nerve weakness. The parotid tumor needs to be removed very carefully by a team of surgeons with a high level of expertise and experience. However, risk of In this video we will see all Surgical landmarks for facial nerve identification during parotid surgery. Results: Sixty-four patients underwent parotidectomy. The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of taste sensations from the anterior two-thirds of the tongue.

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