E xtracapsular dissection with facial nerve dissection (ECD-FND) uses standard surgical landmarks to identify and antegrade dissect the facial nerve trunk at the onset of the procedure. The branches of the facial nerve are dissected up to the anterior extracapsular margin of the tumor; then, the tumor is dissected with a thin layer (1-2 mm) of parenchyma and fascia around it (Figure 1). Extraca...

BACKGROUND Surgery for benign parotid tumors has undergone several evolutionary steps over the past century. Prior to the 1930s, the focus of parotid surgery was to limit the risk of facial nerve paralysis, which made intracapsular enucleation the most common procedure performed. However, it became widely recognized that the postoperative risk of recurrence was unacceptably high, even for benig...

BACKGROUND Innervated free muscle transfer using the gracilis muscle or temporalis myoplasty has been successfully utilized for facial reanimation in chronic facial palsy. These techniques are less suited to immediate facial reconstruction in the setting of radical parotidectomy, in which the complexity of the defect, patient age, postoperative radiotherapy, and limited life expectancy pose par...

OBJECTIVES To offer a novel framework that provides residents and practitioners with a reliable and surgically relevant method for identifying the facial nerve trunk (CNVII) after exiting the skull base during parotidectomy. METHODS The currently available literature and textbooks do not completely address the challenges trainees encounter in learning how to identify CNVII during parotidectom...

OBJECTIVES/HYPOTHESIS To evaluate the effectiveness of free fat grafting in preventing Frey's syndrome (FS) and facial depression after parotidectomy compared with acellular dermis. METHODS A prospective randomized trial was performed. Patients who underwent parotidectomy were randomly assigned to abdominal free fat or acellular dermis grafting groups. The occurrence of FS, the aesthetic outc...

BACKGROUND/AIM Salivary gland tumors are mostly benign tumors. Whether a more conservative surgical approach at greater risk of recurrence, or a more radical intervention with an increased risk of facial paralysis is warranted is still under discussion. Our study addresses the opportunity for improving surgical outcome by employing platelet-rich plasma (PRP) gel at the surgical site. PATIENTS...

UNLABELLED Salivary gland tumors are rare, generally benign and affect mainly the parotid gland. AIM The purpose of this study was to retrospectively analyze all cases of parotid tumors treated at our institution from 1953 to 2003. METHODS All patients with primary parotid tumors were selected; clinical and histopathological data were analyzed and described. RESULTS 600 cases of parotid t...

OBJECTIVES/HYPOTHESIS To investigate presenting signs and symptoms, preoperative workup, operative therapy, and morbidity of benign and malignant lipomatous lesions of the parotid gland. STUDY DESIGN Medical literature review and retrospective chart review for all patients who underwent surgery for lipomatous lesions of the parotid gland at our institution from 1959 to 2009. METHODS Seventy...

BACKGROUND The need for and consequence of sacrificing the buccal branch of the facial nerve during parotidectomy is unknown. We sought to determine the indication, frequency, and functional outcome of buccal branch sacrifice. METHODS We conducted a prospective study of all cases of parotidectomy at a tertiary referral center. RESULTS Of 100 consecutive cases of parotidectomy, the buccal br...