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ISSN 2063-5346
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Surgical Technique of Parotid Surgery and Great Auricular Nerve Preservation

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Taha A Biomy, Hamdoon ElHossieny Mohammed, Amira El-Sayed Ibrahim, Eslam G.Abozaid
» doi: 10.53555/ecb/2023.12.Si12.285

Abstract

In the realm of surgical approaches for salivary gland tumors, several techniques come into play depending on the nature and extent of the lesion. Extracapsular dissection involves tumor resection without facial nerve identification, utilizing a facial nerve monitor, and is typically employed for benign lesions other than pleomorphic adenoma. On the other hand, partial or superficial parotidectomy entails tumor removal with a margin of parotid tissue while carefully identifying and preserving the facial nerve. This approach finds application in cases of benign lesions and superficial lobe lymph node metastasis. For a more comprehensive procedure, total parotidectomy is opted for, involving complete gland removal while meticulously identifying and safeguarding the facial nerve. This method is reserved for aggressive malignant tumors, deep lobe tumors, sentinel lymph node excision located in the deep lobe, vascular malformations, or substantial tumors where distinguishing between superficial and deep lobes proves challenging.

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