Problems with Reoperation of the Parotid Gland and Facial Nerve

1988 ◽  
Vol 99 (5) ◽  
pp. 480-488 ◽  
Author(s):  
John J. Conley

The decision as to how to handle recurrent benign disease in the parotid gland can be a perplexing problem. It may cover the gamut of clinical observation, through conservative surgery to radical ablation. The situation is a balance between the nature of the biological process, the possibility of cure or control, and the status of the facial nerve. These problems can be exceptionally difficult in analysis and philosophical management, and are frequently pinioned between technical craftsmanship, curability, and deformity. An understanding, however, of the variety of possibilities—and particularly their relationship to the facial nerve—will help to position these cases within the realm of surgical reality. A new technique of interfascicular dissection is proposed in certain instances.

1995 ◽  
Vol 83 (3) ◽  
pp. 559-560 ◽  
Author(s):  
Tomio Sasaki ◽  
Makoto Taniguchi ◽  
Ichiro Suzuki ◽  
Takaaki Kirino

✓ The authors report a new technique for en bloc petrosectomy using a Gigli saw as an alternative to drilling the petrous bone in the combined supra- and infratentorial approach or the transpetrosal—transtentorial approach. It is simple and easy and avoids postoperative cosmetic deformity. This technique has been performed in 11 petroclival lesions without injuring the semicircular canals, the cochlea, or the facial nerve.


2013 ◽  
Vol 95 (2) ◽  
pp. e1-e2
Author(s):  
J Gómez-Ramírez ◽  
D Tagarro ◽  
JM Bravo ◽  
E Martín-Pérez ◽  
E Larrañaga

Surgery for persistent primary hyperparathyroidism remains a major challenge for surgeons and these reoperative procedures require an experienced parathyroid surgeon. The goal of reoperative surgery is to excise the abnormal parathyroid gland(s) and limit exploration to help minimise the potential complications. At least two positive and concordant localising studies should be available before reoperation because the technical difficulties in these cases make an exact localisation necessary before surgery. We describe the placement of a metallic harpoon under ultrasonography guidance as a safe, simple and inexpensive technique for localisation of the enlarged gland prior to conservative surgery.


Author(s):  
Зеленин ◽  
Vadim Zelenin ◽  
Мантурова ◽  
Natalya Manturova ◽  
Зеленин ◽  
...  

The aim of the research was to develop a new technique for suturing the surgical incision in submammary area after subpectoral reconstructive breast surgery with good cosmetic result. Clinical observation group included 10 patients. It was found that the new technique of suturing the surgical incision, in comparison with the method offered by M.B.Calo-braceet al. (2014), allows to decrease the duration of suturing from 6min 10±0.06 sec down to 5min 29±0.04 sec (р<0.01), to reduce number of stitches from 24 down to 15, to shorten postoperative stitch from 4.24±0.06cm down to 3.71±0.07cm (р<0.01), and to shorten cicatrix length in 1year after the operation from 4.78±0.19cm down to4.25±0.22cm (р<0.05). Therefore, the developed technique of suturing the surgical wound provides the location of postoperative cicatrix in the area of submammary fold which makes it less noticeable. Moreover, it allows to shorten the length of postoperative cicatrix, decrease the duration of the surgery and to secure adequate stability of implant fixation.


2007 ◽  
Vol 107 (1) ◽  
pp. 244-245 ◽  
Author(s):  
Eduardo Fernandez ◽  
Francesco Doglietto ◽  
Alessandro Ciampini ◽  
Liverana Lauretti

The aim of this paper was to report on further experience with a new technique for reanimation of the facial nerve. This procedure allows a straight end-to-side hypoglossal–facial anastomosis without interruption of the 12th cranial nerve or the need for graft interposition. It is technically demanding and time consuming but offers an effective, reliable, and extraordinarily quick means of reinnervating the facial muscles, including the orbicularis oculi muscle, thus avoiding the need for a gold weight in the eyelid or a fascial sling.


1983 ◽  
Vol 55 (4) ◽  
pp. 333-337 ◽  
Author(s):  
T. TAKAHASHI ◽  
S. DOHI

1997 ◽  
Vol 107 (7) ◽  
pp. 984-991 ◽  
Author(s):  
Marcus D. Atlas ◽  
David S.G. Lowinger

Sign in / Sign up

Export Citation Format

Share Document