Parotidectomy under sedation and locoregional anesthesia with monitoring of brain activity

Abstract

In selected cases, parotidectomy under sedation plus locoregional anesthesia is feasible and safe. The careful selection of patients and the close collaboration with an anesthesiologist is the key to a successful procedure. © 2016 Wiley Periodicals, Inc. Head Neck 39: 744-747, 2017.

Retrograde parotidectomy under local anesthesia for benign, malignant, and inflammatory lesions

“…For cases without neck dissection, mean operative time was 89.0 ± 20.4 minutes. This is on par with typical cited operative times for standard parotidectomy [8].…”

“…Additionally, the retrograde technique may be a more expedient technique. A series of 13 patients from Brazil describes parotidectomy under local anesthesia using primarily a classic facial nerve dissection, with identification of the nerve at the tragal pointer and a subsequent anterograde dissection of the branches [8]. Their mean operating time was 118.2 ± 16.4 minutes, compared to this series of 102.8 ± 38.3 minutes (89.0 ± 20.4 minutes when excluding cases with neck dissection).…”

“…Several groups have described parotidectomy using regional block techniques (an ascending cervical plexus + auriculotemporal nerve combination or a V2 + V3 + greater auricular nerve combination) which provide a larger field of anesthetic effect while still allowing for volitional facial movement [6][7][8].…”

“…In cases of malignancy, surgical excision is key to achieving better locoregional control, disease-free survival, and overall survival compared to nonsurgical treatments such as radiation [1]. Parotidectomy under local anesthesia is a treatment option that has been reported in other countries for a wide variety of indications [2][3][4][5][6][7][8][9]. We report our series of six patients undergoing parotidectomy under local anesthesia, which is the largest series reported in the United States to date.…”

Efficacy of superficial cervical plexus block versus cervical retrolaminar block both combined with auriculotemporal nerve block in parotid surgeries

“…In Group S, the time of first analgesia request was 10.40 ± 2.41 h. Previous studies using SCPB in parotid surgery did not declare the duration to the first analgesia request [ [1] , [2] , [3] ]. However, Yaho et al [ 27 ] showed that the first analgesic request following SCPB was 18 h in thyroid surgery , as they used higher concentration of LA 10 ml ropivacaine 0.5% [ 27 ].…”