Home contact us privacy disclaimer. Once the nerve is identified, it is traced to the pes anserinus, the structure marking the separation of the cervicofacial lower and temporofacial upper divisions see the image below. Patients who underwent superficial parotidectomy with a recurrence of the tumor from previous surgery. The incidence of permanent weakness was not statistically different in the long term 3. A "total parotidectomy" is required. Risk to facial nerve paralysis is higher than the first scenario.
Post-parotidectomy Facial Paresis: Intraoperative and Postoperative Factors
The patient was told that this defect could not be fixed. However, to our knowledge, there are limited data on the subject found in literature and there are no guidelines for clinical use 6. Osborne then work hand-in-hand throughout your entire operation to achieve the best results possible. More important in this area is to avoid the cervical and marginal branches, which usually pass over the facial veins and in the submandibular fascia. Immediate reconstruction offers several advantages over secondary or late reconstruction.
Total Parotidectomy with Preservation of Facial Nerve | The BMJ
It is the largest of the major salivary glands. Intraoperative and Postoperative Factors. Sialorrhea is rarely treated with parotidectomy; more often, it is medically managed with antisialagogues or botulinum toxin or treated with duct ligation. For patients with a partial dissection of the facial nerve, especially cases involving reoperation and partial FP, only total palsy of the involved territory was taken into account. If you log out, you will be required to enter your username and password the next time you visit. Such care includes the use of lubricants, taping the eye shut at night, and moisture chambers during the day. Facial nerve preservation in parotid surgery was first described in by Thomas Carwardine 1.
Facial nerve monitoring in parotid surgery: The average tumor size was 3. This article is part of the following special collection s: For patients with a partial dissection of the facial nerve, especially cases involving reoperation and partial FP, only total palsy of the involved territory was taken into account. Patients and Methods Phase I consisted of a retrospective analysis of available records to examine archived specimens of SP resections harboring PAs.