Techniques for dissection of the facial nerve in benign parotid surgery: a cross specialty survey of oral and maxillofacial and ear nose and throat surgeons in the UK

O’Regan, Barry; Bharadwaj, Girish; Elders, Andrew

doi:10.1016/j.bjoms.2008.01.008

Cited by 32 publications

(16 citation statements)

References 7 publications

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“…Nevertheless, AP remains the dominant form of surgical approach at present. The results of a questionnaire survey indicate that less than 10 per cent of parotid masses are removed by RP 8 . The low adoption rate of RP might be related to the fallacious belief that AP is a safer and easier procedure than RP.…”

Section: Discussionmentioning

confidence: 99%

Superficial parotidectomy: Antegrade versus retrograde facial nerve dissection

Chow¹,

Choi²,

Cheung³

et al. 2011

Surgical Practice

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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.

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Section: Discussionmentioning

confidence: 99%

Superficial parotidectomy: Antegrade versus retrograde facial nerve dissection

Chow¹,

Choi²,

Cheung³

et al. 2011

Surgical Practice

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“…Our opinion, the main point of reference in the isolation of the facial nerve is the posterior belly of the digastric muscle; when, however, proximal nerve exploration is difficult, isolation of the nerve via the distal nerve exploration from the buccal branch can be carried out [17,18].…”

Section: Resultsmentioning

confidence: 99%

Proximal and distal Facial nerve exploration during superficial parotidectomy

Sharma¹,

Sirohi²

2010

J. Maxillofac. Oral Surg.

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One of the most technique sensitive surgeries in the maxillofacial region is the parotid gland surgery owing to the close relation between the gland and the extra-cranial course of facial nerve. Facial nerve is generally located by means of a proximal surgical identification technique aimed at identifying the facial nerve at its point of exit from the stylomastoid foramen to its entry into the posteromedial surface of parotid gland. There are reports in the literature on distal nerve identification techniques, either as a choice or in cases where proximal nerve identification is difficult. The present report deals with personal clinical experience, describing both the techniques for detection of the facial nerve in 17 cases reported. The technique mainly chosen was conventional proximal nerve identification technique in 16 cases. Distal exploration of the buccal branch was undertaken only in one case, on account of difficulty in locating the main trunk intraoperatively, due to the presence of a post inflammatory fibrosis. The decision to resort to the identification of the buccal nerve is supported by the regular course and adequate size of this branch of facial nerve in its peripheral area co-located with stenson's duct, which enable it to be easily identified during surgery.

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“…[16] The main point of reference in the isolation of the facial nerve is the posterior belly of the digastric muscle; when, however, if proximal nerve exploration is difficult, isolation of the nerve through the distal nerve exploration from the buccal branch can be carried out. [1718]…”

Section: Discussionmentioning

confidence: 99%

An objective assessment of proximal and distal facial nerve exploration during superficial parotidectomy

Sharma¹,

Menon²,

Sinha

2011

Ann Maxillofac Surg

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Aim:This study was undertaken to compare the proximal and distal facial nerve exploration approach during superficial parotidectomy.Materials and Methods:A retrospective analysis of patients who underwent superficial parotidectomy at our center was conducted. Cases were divided into those who underwent superficial parotidectomy using distal facial nerve exploration and those who underwent standard proximal facial nerve exploration. Statistical comparisons of intraoperative blood loss and margin status (negative, focally, positive) were conducted between these two approaches.Results:A total of 39 patients underwent superficial parotidectomy at our center between 2008 and 2010. The technique used in most of the cases was conventional proximal nerve exploration technique (29 cases). Distal exploration of the buccal branch was undertaken only in 10 cases, on account of difficulty in locating the main trunk intraoperatively due to the presence of postinflammatory fibrosis. The average patient age was 48 years with a female preponderance (67%). Both the techniques consumed almost same average operative time (2.4 hours) and average intraoperative blood loss (68.0 cc vs 25.4 cc) was more in the cases where proximal nerve exploration was resorted (S.E (d) = 0.89). No significant difference in surgical margin status was noticed between the two techniques (P > 0.05).Conclusion:Both the techniques are efficient without compromising the surgical margins, but the average intraoperative blood loss is less in distal facial nerve exploration technique.

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Techniques for dissection of the facial nerve in benign parotid surgery: a cross specialty survey of oral and maxillofacial and ear nose and throat surgeons in the UK

Cited by 32 publications

References 7 publications

Superficial parotidectomy: Antegrade versus retrograde facial nerve dissection

Superficial parotidectomy: Antegrade versus retrograde facial nerve dissection

Proximal and distal Facial nerve exploration during superficial parotidectomy

An objective assessment of proximal and distal facial nerve exploration during superficial parotidectomy

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