Parotidectomy
- PMID: 32491583
- Bookshelf ID: NBK557651
Parotidectomy
Excerpt
Parotidectomy is the partial or complete removal of the parotid gland; the procedure may be indicated for various reasons, including inflammatory conditions, certain infectious processes, congenital malformations, and benign or malignant neoplasms. Regardless of the indication for surgery, parotidectomy is a meticulous procedure requiring experienced surgeons, particularly due to the relationship of the gland to the facial nerve. Therefore, identification and preservation of the facial nerve are the most crucial steps during the procedure (second only to oncologic safety in the case of known malignancy). Emphasis is placed on identification because, in the vast majority of cases, preoperative prediction of the relationship of the tumor to the facial nerve is not possible with much accuracy unless facial paralysis is present before intervention.
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References
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- Wang SJ, Eisele DW. Parotidectomy--Anatomical considerations. Clin Anat. 2012 Jan;25(1):12-8. - PubMed
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