Conservation of salivary secretion and facial nerve function in partial superficial parotidectomy

Zhang, S.S.; Ma, Dan; Guo, Chuanbin; Huang, Min-Xian; Peng, Xin; Yu, Guang‐Yan

doi:10.1016/j.ijom.2013.03.014

Cited by 41 publications

(39 citation statements)

References 15 publications

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“…At the same time, the main trunk of the FN was identified, and the FN branches adjacent to the tumor were dissected and preserved without extensive dissection of the FN branches outside the tumor-bearing area. Following that, the tumor was removed completely with approximately 0.5- to 1-cm tumor-free margins [1]. All the tumor-free parotid parenchyma and covering parotid fascia were preserved (Fig.…”

Section: Methodsmentioning

confidence: 99%

“…Approximately 75% of parotid gland tumors are benign [1]. Before the 1950s, parotid tumor treatment consisted predominantly of enucleation, a procedure that yielded an excessive incidence of permanent facial nerve (FN) palsy and tumor recurrence rate (20-45%) [2].…”

Section: Introductionmentioning

confidence: 99%

“…This gave rise to a dramatic decline in recurrence, and made permanent FN paralysis rare. However, it resected a considerable amount of the normal parotid tissue not associated with tumors, with full dissection of the FN, leading to loss of parotid function and temporary FN paralysis [1]. …”

Section: Introductionmentioning

confidence: 99%

“…Recently, total superficial parotidectomy (TP) has come to be considered unnecessary for preventing recurrence in the majority of patients, depending on the histology, size, and location of tumors [1]. Therefore, over the past two decades, partial superficial parotidectomy (PP) emerged as a more conservative approach than superficial parotidectomy in the management of parotid tumors [1,2,4].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, over the past two decades, partial superficial parotidectomy (PP) emerged as a more conservative approach than superficial parotidectomy in the management of parotid tumors [1,2,4]. In this procedure, the parotid tumor was resected with only a surrounding 0.5- to 1-cm cuff of normal parotid tissue [1]. The main trunk of the FN was identified, and the FN branches that were adjacent to the tumor were dissected and preserved, with no need for any more extensive FN dissection.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Comparing Modified with Conventional Parotidectomy for Benign Parotid Tumors

Gao

Ren²,

Li³

et al. 2017

ORL

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Purpose: We conducted a study to compare the functional outcomes and surgical complications of patients with benign parotid tumors treated with conventional parotidectomy and modified parotidectomy. Methods: This study retrospectively analyzed 99 patients who had benign parotid lesions and underwent parotidectomy using either conventional or modified parotidectomy. The operation time, cosmetic outcome, great auricular nerve anesthesia, incidence of Frey syndrome, and secretory function with the two techniques were compared. Results: The mean operation time was shorter and the total complication rate was obviously lower in the modified surgery group (p < 0.001). In the modified surgery group, the incision was more cosmetic (p < 0.001), the sensory deficit rate was low (p < 0.001), and the sensory recovery rate was high, and transient facial paralysis and Frey syndrome were rare. Furthermore, glandular function was preserved in patients with a conserved Stensen duct. There was no tumor recurrence in the two groups during a mean follow-up of 29.8 months. Conclusion: Modified surgical techniques for benign parotid neoplasms significantly reduced the surgery time and improved the surgery outcomes compared with the conventional approach. This adds to the evidence to support the effectiveness of modified parotidectomy in selected patients with benign parotid tumors.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Comparing Modified with Conventional Parotidectomy for Benign Parotid Tumors

Gao

Ren²,

Li³

et al. 2017

ORL

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Extracapsular Dissection vs Superficial Parotidectomy of Benign Parotid Lesions

Kato

Erkul

Nguyen

et al. 2017

JAMA Otolaryngol Head Neck Surg

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3T MRI and 128‐slice dual‐source CT cisternography images of the cranial nerves a brief pictorial review for clinicians

2013

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There is a broad community of health sciences professionals interested in the anatomy of the cranial nerves (CNs): specialists in neurology, neurosurgery, radiology, otolaryngology, ophthalmology, maxillofacial surgery, radiation oncology, and emergency medicine, as well as other related fields. Advances in neuroimaging using high-resolution images from computed tomography (CT) and magnetic resonance (MR) have made highly-detailed visualization of brain structures possible, allowing normal findings to be routinely assessed and nervous system pathology to be detected. In this article we present an integrated perspective of the normal anatomy of the CNs established by radiologists and neurosurgeons in order to provide a practical imaging review, which combines 128-slice dual-source multiplanar images from CT cisternography and 3T MR curved reconstructed images. The information about the CNs includes their origin, course (with emphasis on the cisternal segments and location of the orifices at the skull base transmitting them), function, and a brief listing of the most common pathologies affecting them. The scope of the article is clinical anatomy; readers will find specialized texts presenting detailed information about particular topics. Our aim in this article is to provide a helpful reference for understanding the complex anatomy of the cranial nerves.

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Conservation of salivary secretion and facial nerve function in partial superficial parotidectomy

Cited by 41 publications

References 15 publications

Comparing Modified with Conventional Parotidectomy for Benign Parotid Tumors

Comparing Modified with Conventional Parotidectomy for Benign Parotid Tumors

Extracapsular Dissection vs Superficial Parotidectomy of Benign Parotid Lesions

3T MRI and 128‐slice dual‐source CT cisternography images of the cranial nerves a brief pictorial review for clinicians

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