Anatomical and Surgical Study to Evaluate the Accuracy of “C-M-S” Technique in Facial Nerve Identification During Parotid Surgery

2021 ◽  
Author(s):  
Ashish S. Shah ◽  
Satish Nair ◽  
V. Pavithra ◽  
J. G. Aishwarya ◽  
K. V. R. Brijith ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Parotid Surgery ◽  
Nerve Identification

scholarly journals Easy and Safe Method for Facial Nerve Identification in Parotid Surgery

2015 ◽  
Vol 76 (06) ◽  
pp. 426-431 ◽  
Author(s):  
Shetty Sharankumar ◽  
C.J. Sandya ◽  
Vidhyadharan Sivakumar ◽  
Peter Sherry ◽  
Thankappan Krishnakumar ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Safe Method ◽  
Parotid Surgery ◽  
Nerve Identification

scholarly journals POSTERIOR AURICULAR NERVE – A NOVEL LANDMARK FOR IDENTIFICATION OF THE FACIAL NERVE IN SUPERFICIAL PAROTIDECTOMY

2021 ◽  
Vol Volume 9 (upjohns/volume9/Issue2) ◽  
pp. 10-14
Author(s):  
Arulalan Mathialagan
Keyword(s):  
Facial Nerve ◽  
Pleomorphic Adenoma ◽  
Nerve Trunk ◽  
Target Area ◽  
Superficial Parotidectomy ◽  
Tertiary Referral Center ◽  
Individual Variations ◽  
Parotid Surgery ◽  
Auricular Branch ◽  
Nerve Identification

ABSTRACT Background-Facial nerve identification and preservation is the most critical step in parotid surgery. Though there are described landmarks to locate the facial nerve trunk, they have individual variations. The posterior auricular nerve (PAN) is a branch of the facial nerve and is always present, it can be followed to reach the facial nerve trunk. MATERIALS AND METHODS A retrospective cohort study in which analysis of parotidectomy performed from January 2017 to November 2018 at our tertiary referral center was done. RESULTS A total of 23 parotidectomies were performed, of which 18 cases were pleomorphic adenoma. In four cases of pleomorphic adenoma we could clearly identify and preserve the PAN. Using PAN as the landmark the facial nerve trunk was located, all its peripheral branches were dissected and preserved. PAN identification narrows down the target area of dissection to identify the facial nerve trunk. CONCLUSION The posterior auricular branch of the facial nerve can be used as a standard landmark in parotid surgeries, that almost always leads to the facial nerve trunk. CLINICAL SIGNIFICANCE Though identification of PAN may be difficult in all cases, effort must be made to identify it under magnification. If done meticulously PAN can be an ideal landmark to identify facial nerve in parotid surgery. KEYWORDS Parotid surgery, Superficial Parotidectomy, Posterior auricular nerve, Facial nerve.

Long-term recurrence rate of pleomorphic adenoma and postoperative facial nerve paresis (in parotid surgery)

2007 ◽  
Vol 35 (3) ◽  
pp. 189-192 ◽  
Author(s):  
Oliver Zernial ◽  
Ingo N. Springer ◽  
Patrick Warnke ◽  
Franz Härle ◽  
Christian Risick ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Pleomorphic Adenoma ◽  
Recurrence Rate ◽  
Parotid Surgery ◽  
Nerve Paresis ◽  
Long Term Recurrence Rate

scholarly journals Facial nerve identification with fluorescent dye in rats

2016 ◽  
Vol 31 (2) ◽  
pp. 92-102 ◽  
Author(s):  
Giulianno Molina de Melo ◽  
Onivaldo Cervantes ◽  
Luciene Covolan ◽  
Heloisa Allegro Baptista ◽  
Elenn Soares Ferreira ◽  
...  
Keyword(s):  
Facial Nerve ◽  
Fluorescent Dye ◽  
Nerve Identification

Haemostatic devices in parotid surgery: a systematic review

2021 ◽  
pp. 1-7
Author(s):  
L Allen ◽  
C MacKay ◽  
M H Rigby ◽  
J Trites ◽  
S M Taylor
Keyword(s):  
Systematic Review ◽  
Blood Loss ◽  
Facial Nerve ◽  
Hospital Stay ◽  
Outcome Measures ◽  
Meta Analysis ◽  
Operating Time ◽  
Length Of Hospital Stay ◽  
Operative Blood Loss ◽  
Parotid Surgery

Abstract Objective The Harmonic Scalpel and Ligasure (Covidien) devices are commonly used in head and neck surgery. Parotidectomy is a complex and intricate surgery that requires careful dissection of the facial nerve. This study aimed to compare surgical outcomes in parotidectomy using these haemostatic devices with traditional scalpel and cautery. Method A systematic review of the literature was performed with subsequent meta-analysis of seven studies that compared the use of haemostatic devices to traditional scalpel and cautery in parotidectomy. Outcome measures included: temporary facial paresis, operating time, intra-operative blood loss, post-operative drain output and length of hospital stay. Results A total of 7 studies representing 675 patients were identified: 372 patients were treated with haemostatic devices, and 303 patients were treated with scalpel and cautery. Statistically significant outcomes favouring the use of haemostatic devices included operating time, intra-operative blood loss and post-operative drain output. Outcome measures that did not favour either treatment included facial nerve paresis and length of hospital stay. Conclusion Overall, haemostatic devices were found to reduce operating time, intra-operative blood loss and post-operative drain output.

scholarly journals Facial nerve paralysis postparotidectomy: A retrospective review of the prevalence and risk factors at a tertiary center

2017 ◽  
Vol 3 (4) ◽  
pp. 1
Author(s):  
Shahad T. Ghandoura ◽  
Mahmood Z. Al-Madani ◽  
Qusai A. Tawakul ◽  
Nada J. Farsi ◽  
Rolina K. Alwassia ◽  
...  
Keyword(s):  
Risk Factors ◽  
Facial Nerve ◽  
Retrospective Review ◽  
Categorical Variables ◽  
Facial Nerve Paralysis ◽  
Tumor Characteristics ◽  
Nerve Paralysis ◽  
Operative Duration ◽  
Parotid Surgery ◽  
Tertiary Center

Objective: Facial nerve paralysis is one of the most devastating complications after parotid gland surgery. We aimed to determine the prevalence and risk factors of facial palsy after parotidectomy.Methods: We performed a retrospective review of the data from 54 patients who underwent parotid surgery between 2004 and 2015 at a tertiary medical care center. The prevalence of facial nerve paralysis and possible risk factors (demographic characteristics, tumor characteristics, and operative factors) associated with postoperative paralysis were assessed. Categorical variables were evaluated using the Fisher’s exact test, and a two-tailed t-test was used to assess the associations between continuous and binary outcome variables.Results: The postparotidectomy prevalence of temporary and permanent facial nerve paralysis were 26% and 13%, respectively. Tumors involving both lobes were significantly associated with permanent facial nerve paralysis (p = .048). Long operative duration (> 164 minutes) was associated with both temporary and permanent facial nerve paralysis (p = .040).Conclusions: Operative factors such as operative duration and tumor characteristics such as bilobal involvement increased the risk of postparotidectomy facial nerve paralysis. Such factors should be considered to reduce the risk of palsy in patients undergoing parotidectomy.

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