Optimizing the aesthetic result of parotidectomy with a. Jun 03, 2016 tumors that extend into the deep lobe may require total parotidectomy. Risks and complications of surgery parotidectomy superficial or total parotidectomy the following are the possible complications and risks associated with these procedures. Jan 30, 2019 a superficial or lateral parotidectomy involves removing all of the gland superficial to the facial nerve, whereas a partial superficial parotidectomy involves removing only the portion of the gland surrounding a tumor or mass. Deeper part of residual parotid tissues will continually secrete saliva and accumulates as sialocele.
This gland makes saliva, which enters the mouth through a tube duct near the back teeth. Subtotal or total parotidectomy with exposure of the facial nerve to avert accidental damage to it is the treatment of choice. The purpose of this study is to document the safety of the medtronic automatic periodic stimulating aps electrode stimulator during a parotidectomy and potentially prevent postoperative facial nerve weakness, which is a relatively common outcome after. Currently, surgical excision is the most efficient treatment for parotid tumors, yet debate continues to be with respect to making use of superficial parotidectomy sp 3 or partial superficial parotidectomy psp 4. Benign or low grade tumor of the superficial lobe of the parotid gland 2. Pdf the purpose of this study was to evaluate the adequacy of partial superficial parotidectomy and tumour enucleation in the surgical. To obtain this objective, prolonged anatomical observation of the gan and the pgf was carried out, and the traditional superficial parotidectomy was modified based on the result of the anatomical study.
There are two of them, one on each side of the face and they produce saliva that drains into the mouth through a duct that lies next to the upper molar teeth. This is a teaching video for residents in head and neck surgery. Animated procedures sialendoscopy parotid tumor surgery. Parotid salivary gland removal, superficial parotidectomy. They consist of major and minor glands and ducts that drain secretions into the mouth. Pdf superficial parotidectomy via facelift incision. The most common complication was facial nerve injury 63. Partial superficial parotidectomy via retroauricular hairline. The majority of lesions are benign and affect the superficial parotid lobe. We propose a neurophysiological pathway involving acetylcholine and histamine to explain this phenomenon. Parotidectomy parotidectomy is removal of part or all of the parotid gland, a salivary gland that lies in front of and below the ear. Aug 24, 2010 operative technique of superficial parotidectomy by dr. Parotidectomy is considered a clean surgical procedure. Surgical management of salivary gland tumors aliu sanni md long island college hospital.
During the micro parotidectomy procedure, or minimally invasive parotid surgery, dr. Lateral parotidectomy medical transcription sample report. Parotidectomy is the removal of the parotid gland, located below the ear. Recently, some surgeons suggest that extracapsular dissection ecd instead of superficial parotidectomy sp for treatment of benign parotid. This surgery, which removes the parotid gland, helps people with nerve issues, tumors, and other gland problems. Treatment, parotid, tumor superficial, total parotidectomy, partial introduction tumors of the salivary glands represent 3% to 10% of all head and neck neoplasms. A number of tumors can develop in the parotid gland.
Oxford centre for head and neck oncology parotidectomy. How can you preserve both the gan and the pgf simultaneously during the parotidectomy, and reduce these two kinds of complications. You need saliva to help with chewing and swallowing. Complications after superficial parotidectomy for pleomorphic. Feb 19, 2015 superficial parotidectomy superficial lobe parotidectomy describes removal of all or a portion of the parotid gland superficial to the facial nerve. Although the incisional parotid biopsy is the diagnostic procedure of choice for systemic disease involving the parotid, the superficial parotidectomy remains the minimal biopsy of choice for a mass suspected to be a neoplasm in the parotid. This leaflet has been designed to improve your understanding of your forthcoming treatment and contains answers to many of the common. Superficial parotidectomy was the most common choice of treatment 71. Autologous fat transfer was primarily used in 10 cases to.
To learn more about precautions and after care required after parotidectomy, call dr. Both procedures will be done at the same time and will involve two different entry points cuts in order to gain access to the lymph nodes that need to be removed. A skilled head and neck surgeon is needed for both a deep and superficial lobe parotidectomy due to the. Parotidectomy for a benign tumour is demonstrated in four steps. Removal of the superficial lobe including the tumor after dissecting it from the facial nerve branches.
Partial parotidectomy versus superficial or total parotidectomy. Optimizing the aesthetic result of parotidectomy with a face. The cut incision required to remove the tumor begins at the front of the ear and follows the line down to the neck and under and along the jawline. The branches of the facial nerve are identified anteriorly, as they enter the muscles of facial expression. The advantages of partial superficial parotidectomy can thus be summarised as below.
Techniques for dissection of the facial nerve in benign parotid surgery. As parotid dissect tion generally is directed along the facial nerve, the nerve in effect divides the. A skilled head and neck surgeon is needed for both a deep and superficial lobe parotidectomy due to the close proximity of the facial nerve to the surgical site. Surgical procedure of partial superficial parotidectomy openi. Parotidectomy aftercare instructions what you need to know. Variations of parotidectomy indications and technique. A parotidectomy is the surgical excision removal of the parotid gland, the major and largest of the salivary glands. Please insert local department routine and emergency contact details here.
Postoperative infection is uncommon, and it is reported to occur in less than 3% of patients. Conservation of salivary secretion and facial nerve. The aim of this study was to evaluate facial nerve dysfunction and other postoperative complications after superficial parotidectomy for. Parotid surgery animation overview of minimally invasive. This version of the parotidectomy involves only removing the superficial lobe, while the deep lobe remains intact. Superficial parotidectomy for benign parotid lesions moshe harell, md, dalia levy, md, moshe elam, md today, surgery for benign parotid tumors has evolved into a procedure that is both effective and safe. The book aims to promote exchanges of ideas between practitioners and institutions in the developing world, to. Our surgeon performed superficial parotidectomy with nerve dissection for a patient. The white wire is the ground electrode of the facial nerve stimulator. Your parotid glands are one of the glands that release saliva spit into your mouth.
Superficial parotidectomy versus partial superficial parotidectomy in. These glands produce saliva, the first secretion involved in digestion. A an incision was made along the postauricular sulcus and hairline without a preauricular incision. Facelift type incisions were used in all patients, and temporoparietal fascia flaps were. Pdf pleomorphic adenoma is the commonest tumor of the parotid gland and mostly arises from its superficial lobe. Parotidectomy with facial nerve dissection iowa head and. Partial superficial parotidectomy versus conventional superficial parotidectomy for benign parotid tumors. Definition parotidectomy is the removal of the parotid gland, a salivary gland near the ear. Conservation of salivary secretion and facial nerve function in partial. Infection is always a possibility with any surgery. Post operative instructions parotidectomy total or subtotal background information the salivary glands are responsible for a variety of disorders that may or may not require surgery. Superficial lobe parotidectomy describes removal of all or a portion of the parotid gland superficial to the facial.
The majority of parotid gland tumors are benign, however 20% of. Rare parotid salivary fistula post superficial parotidectomy. At present, surgical excision is the most effective treatment for parotid. The most common reasons for removal of all or part of this gland are a mass in the gland, chronic infection of the gland, or obstruction of the saliva outflow from the gland causing chronic enlargement of the gland. Facelift type incisions were used in all patients, and temporoparietal fascia flaps were used to fill. If you have any other questions that the leaflet does not answer or would like further explanation please ask a. A 49yearold woman developed gustatory itching following a superficial parotidectomy. The gland is removed to treat an infection that keeps returning or to take out a tumor. The primary distinction between both procedures is that the branching pattern and. Partial superficial, superficial, and total parotidectomy in the.
Superficial or total parotidectomy as a standard procedure is often said to be the. Sep 02, 2016 during the micro parotidectomy procedure, or minimally invasive parotid surgery, dr. A total of 268 patients with previously untreated benign parotid tumours within the superficial lobe, who underwent a primary parotidectomy between 1995 and. You have a parotid gland in each cheek just in front of and slightly below your ears. Her symptoms were satisfactorily managed with topical and oral antihistamine preparations. Parotid tumor operationsthe case against enucleation. Using a 15 blade, the skin incision was made and carried down to the level of the parotid fascia and platysma muscle. Get a printable copy pdf file of the complete article 2. Size and location of tumors, operative time, occurrence of facial nerve paralysis and freys syndrome, and cosmetic outcomes were compared among rahi, facelift incision fli, modified blair incision mbi groups. Your surgeon may recommend a superficial parotidectomy surgery to remove all or part of the superficial lobe if the tumor is confined to the superficial lobe of the parotid gland.
Parotidectomy with facial nerve dissection see sample operative note at bottom of protocol. The operation is performed under general anaesthetic and lasts four to six hours. Doctor to document include site andor side where relevant to the procedure. At present, surgical excision is the most effective treatment for parotid tumors, but controversy remains with respect to the use of superficial parotidectomy sp or partial superficial parotidectomy psp. Feb 03, 2020 a parotidectomy is surgery to remove a part, or all of one of your parotid glands. Neoplasms can be benign noncancerous or malignant cancerous. Developing world ent is important as more than 50% of the worlds people live in the developing world. Parotidectomy definition of parotidectomy by medical dictionary. Several procedures have been described to primarily avoid or secondarily reconstruct the facial defect and treat the neurological iatrogenic syndrome. The procedure is most typically performed due to neoplasms tumors, which are growths of rapidly and abnormally dividing cells.
Professor and chair head and neck surgery mayo clinic parotidectomy 60 100 cases per year variety of neoplasms and anatomic variations minimal morbidity overall recurrent neoplasms challenging cases personal experience 32 years. If the tumor is located on top of the facial nerve it is called a superficial lobe parotid tumor. To perform this procedure, the entire facial nerve and all of its branches need to be dissected during surgery. Surgical procedure of partial superficial parotidectomy via the retroauricular hair line incision approach. Post operative instructions parotidectomy total or. Take as much time as you wish to read this information and ask questions of your doctor or the assistants. This leaflet has been designed to improve your understanding of your forthcoming treatment and contains answers to many of the common questions. Parotidectomy discharge care what you need to know. Superficial parotidectomy superficial lobe parotidectomy describes removal of all or a portion of the parotid gland superficial to the facial nerve. Purpose the main purpose of parotidectomy is to remove cancerous tumors in the parotid gland. Brought to you by serona health private limited 9703977769. Feb 03, 2020 a parotidectomy is surgery to remove part or all of your parotid gland. Factors related to facial nerve palsy were malignant tumor, type of parotidectomy and repeated surgery. Feb 12, 2016 superficial parotidectomy the most common indications are.
This surgery may be done to remove a lump in the gland, or it may help prevent or treat other problems caused by a growth or stones in the gland. Facial flap was elevated forward, superficial to the parotid fascia using tenotomy scissors. A parotidectomy is surgery to remove a parotid gland. Though in the past, the parotidectomy recovery time could be quite extensive, new procedures have made this surgery minimally invasive and recoveries very predictable. Larian will remove the parotid tumor and a portion of the surrounding parotid gland through a very small and. The parotidectomy miniincision is a procedure to remove a parotid tumor with a small incision, allowing patients to recover more quickly. Informed consent for parotidectomy introduction this information is given to you so that you can make an informed decision about having parotidectomy. Parotidectomy superficial or total adequate margin and preservation of the facial nerve. Parotidectomy parotid gland tumor surgery memorial sloan. The patients right face was then prepped and draped in the usual sterile manner. How is a neck dissection and superficial parotidectomy performed. If you have any problems or questions, please contact. Base parotidectomy code selection on lobes removed and facial nerve dissection published on wed mar 23, 2016 pdf question. We followed 11 patients who underwent parotidectomy 9 superficial and 2 total parotidectomies for a variety of parotid tumors between december 2001 and january 2018.
In fact, in most cases we do not remove all of the parotid, just the. This publication is designed for the information of patients. Whilst every effort has been made to ensure accuracy, the information contained may not be. These enlargements should be checked by an otolaryngologist head and neck surgeon. This relationship is important as it approximates the depth of the facial nerve. Parotidectomy is a surgical operation to remove a large salivary gland the parotid gland located in front and just below the ear. A parotidectomy is the surgical removal of the parotid gland. Parotid tumours patient consent and consent information. Superficial parotidectomy versus partial superficial. Tumors that extend into the deep lobe may require total parotidectomy. Variations of parotidectomy indications and technique kerry d. They release saliva into your mouth through the parotid duct. Superficial parotidectomy for benign parotid lesions.
Your parotid glands are found in your cheeks, over your jaw and in front of your ears. Enucleation is often a hazardous and incomplete procedure. If the nerve was spared, document whether the nerve was. Patientsandmethods between march 1987 and august 1995, 1 ofthe authors cj. Many of these are tumors that have spread from other areas of the body, entering the. Your parotid glands are found in your cheeks, over your jaw, and in front of your ears. Superficial parotidectomy via facelift incision article pdf available in the annals of otology, rhinology, and laryngology 1184. Subjects china and methods a untreated total of 268 patients with previously the benign parotid tumours within primary super. In addition to those listed, there may be some unforeseen complications with any operative procedure.
Knowledge of the surgical anatomy and the landmarks to find the facial nerve are the key to preserving facial nerve function. Nov 27, 2014 the majority of lesions are benign and affect the superficial parotid lobe. The parotid gland is the largest of the salivary glands. For the most part, this is the same procedure as a superficial or lateral parotidectomy. Superficial parotidectomy the most common indications are. Infection is avoided by adherence to sterile surgical technique and the careful handling of tissues. The tumor and the superficial lobe of the parotid are removed.
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