Parotidectomy for Parotid Gland Tumor Using a Retrograde Approach from the Peripheral Branches of the Facial Nerve

Introduction: Tumors of the salivary gland are relatively uncommon and represent less than two percentage of all head and neck neoplasms. Parotid gland tumor comprises 85% of the salivary gland tumors of which 80% are being benign. Superficial parotidectomy is the commonest procedure done for parotid tumors which can be performed by either anteretrograde or retrograde facial nerve dissection technique.Methods: Outcome of 60 patients after superficial parotidectomy with retrograde facial nerve dissection has been studied.Results: Total of 60 patients had been studied. Complications like facial nerve weakness, Freys syndrome, salivary fistula, and wound infection were taken into account. Among them, 13.33% patients developed temporary facial nerve weakness, followed by temporary salivary fistula, 1.6%. None of the patients developed any severe complication.Conclusion: Superficial parotidectomy by retrograde facial nerve dissection is an easy technique to carry out with low complication rate and without compromising surgical outcome.Journal of Gandaki Medical CollegeVol. 10, No. 1, 2017, page: 25-27

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Transoral Excision of a Large Accessory Parotid Gland Tumor

Ear Nose & Throat Journal ◽

10.1177/01455613211036237 ◽

2021 ◽

pp. 014556132110362

Author(s):

Rohith S. Voora ◽

Joshua Stramiello ◽

Emily Funk ◽

Joseph Califano

Keyword(s):

Parotid Gland ◽

Facial Nerve ◽

Surgical Excision ◽

Transoral Approach ◽

Malignant Neoplasms ◽

Gland Tumor ◽

Parotid Gland Tumor ◽

Facial Nerves ◽

Endoscopic Assistance ◽

Accessory Parotid Gland

Accessory parotid gland (APG) tumors account for 1% to 7% of all parotid gland neoplasms but are more likely to be malignant than main parotid gland tumors. Management of APG neoplasms entails surgical excision. Four primary approaches to resection have been described in the literature with varying facial nerve outcomes. We report a case of a 4-cm APG pleomorphic adenoma utilizing a transoral approach for excision without postoperative facial nerve injury. A transoral approach is known to mitigate patients’ cosmetic concerns; however, prior reports utilized endoscopic assistance on patients with smaller tumors. We conclude that large APG tumors can be excised through a transoral approach without undue risk to the distal facial nerves, though this transoral approach ultimately may not be appropriate for malignant neoplasms or difficult dissections.

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Three-dimensional reconstruction of the facial nerve course in parotid gland tumor using double echo steady state with water-excitation magnetic resonance images

Precision and Future Medicine ◽

10.23838/pfm.2020.00086 ◽

2020 ◽

Vol 4 (2) ◽

pp. 75-80

Author(s):

Yong Gi Jung ◽

Yi-Kyung Kim ◽

Hyung-Jin Kim ◽

Han-Sin Jeong

Keyword(s):

Steady State ◽

Magnetic Resonance ◽

Parotid Gland ◽

Facial Nerve ◽

Three Dimensional ◽

Magnetic Resonance Images ◽

Gland Tumor ◽

Parotid Gland Tumor ◽

Water Excitation ◽

Dimensional Reconstruction

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Facial nerve neurorrhaphy due to unexpected facial nerve injury during parotid gland tumor surgery

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-020-05931-x ◽

2020 ◽

Vol 277 (8) ◽

pp. 2315-2318 ◽

Cited By ~ 2

Author(s):

Se Hyun Jeong ◽

Hee Young Kim ◽

Dong Hoon Lee ◽

Joon Kyoo Lee ◽

Sang Chul Lim

Keyword(s):

Parotid Gland ◽

Facial Nerve ◽

Nerve Injury ◽

Tumor Surgery ◽

Gland Tumor ◽

Facial Nerve Injury ◽

Parotid Gland Tumor

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Correction to: The application of venous nerve conduit trap in the immediate repair and reconstruction of facial nerve in parotid gland tumor: an attempt of a new technique

European Archives of Oto-Rhino-Laryngology ◽

10.1007/s00405-021-06886-3 ◽

2021 ◽

Author(s):

Yudong Ning ◽

Wei Wang ◽

Yongcong Cai ◽

Yuqiu Zhou ◽

Jian Jiang ◽

...

Keyword(s):

Parotid Gland ◽

Facial Nerve ◽

New Technique ◽

Nerve Conduit ◽

Gland Tumor ◽

Parotid Gland Tumor ◽

A New Technique

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Oncocytoma of the Parotid Gland with Facial Nerve Paralysis

Case Reports in Otolaryngology ◽

10.1155/2018/7687951 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Seijiro Hamada ◽

Keishi Fujiwara ◽

Hiromitsu Hatakeyama ◽

Akihiro Homma

Keyword(s):

Parotid Gland ◽

Facial Nerve ◽

Malignant Tumor ◽

Case Reports ◽

Benign Tumors ◽

Facial Nerve Paralysis ◽

Gland Tumor ◽

Nerve Paralysis ◽

Parotid Gland Tumor

Parotid gland tumor with facial nerve paralysis is strongly suggestive of a malignant tumor. However, several case reports have documented benign tumors of the parotid gland with facial nerve paralysis. Here, we report a case of oncocytoma of the parotid gland with facial nerve paralysis. A 61-year-old male presented with pain in his right parotid gland. Physical examination demonstrated the presence of a right parotid gland tumor and ipsilateral facial nerve paralysis of House–Brackmann (HB) grade III. Due to the facial nerve paralysis, a malignant tumor of the parotid gland was suspected and right parotidectomy was performed. Oncocytoma was confirmed histopathologically. The facial nerve paralysis was resolved 2 months after surgery. During the follow-up period (one and a half years), no recurrence was observed. As the tumor showed a distinctive dumbbell shape and increased somewhat due to inflammation (i.e., infection), the facial nerve was pinched by the enlarged tumor. Ischemia and strangulation of the nerve were considered to be the cause of the facial nerve paralysis associated with the benign tumor in this case.

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