Parotidectomy with facial nerve
Periprocedural Care
9 Jul Dysfunction of the facial nerve is a common complication of parotidectomy. The functional deficit may be total or partial, and may include all or a.
We present a retrospective two-center study series and discussion of the current literature to assess the benefits of facial nerve monitoring during parotidectomy.
Description:The likelihood of temporary facial weakness correlated with the extent of surgery and was especially influenced by tumor location deep to the plane of the facial nerve, previous parotid surgery, a diagnosis of sialadenitis, and the addition of neck dissection to the parotidectomy. The typical approach is to start at the uppermost branch of the upper division or the lowermost branch of the lower division, as appropriate, and follows the branch out to a point where it is well clear of the tumor. Stimulation of the cervicofacial and temporofacial divisions of the facial nerve causes the respective muscles to contract. This approach ensures that monitoring will be used efficiently and rationally.
User Comments 5
Post a comment
Comment: