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17 Cards in this Set
- Front
- Back
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Superficial Parotidectomy Indications
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Tumor of the superficial lobe of the parotid gland
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Superficial Parotidectomy 1
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1. General anesthesia, head turned, cotton wad in ear, corner of mouth and eyelid draped into field.
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Superficial Parotidectomy 2
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2. Modified Blair incision
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Superficial Parotidectomy 3
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3. Develop flaps deep to the platysma and superficial to the parotid (anterior and inferior to the margin of the parotid gland, cephalad to the zygomatic process, and posterior to the sternocleidomastoid muscle).
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Superficial Parotidectomy 4
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4. Identify the great auricular nerve and divide the branch that enters the parotid gland.
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Superficial Parotidectomy 5
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5. Identify and ligate the external jugular vein just posterior to the parotid gland.
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Superficial Parotidectomy 6
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6. Expose the anterior border of the sternocleidomastoid muscle and develop the plane between the muscle and mastoid
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Superficial Parotidectomy 7
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7. Divide the temporoparotid fascia.
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Superficial Parotidectomy 8
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8. Identify the main trunk of the facial nerve (a small branch of the posterior auricular artery may be encountered and divided)
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Superficial Parotidectomy 9
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9. Apply traction to the superficial lobe of the parotid gland
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Superficial Parotidectomy 10
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10. Dissect in the plane between the parotid gland and facial nerve branches, tracing, and preserving each branch of the facial nerve.
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Superficial Parotidectomy 11
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11. Identify and ligate Stensen’s duct with absorbable sutures
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Superficial Parotidectomy 12
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12. Remove the superficial lobe.
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Superficial Parotidectomy 13
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13. Achieve hemostasis with fine ligatures; avoid use of electrocautery close to the nerve.
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Superficial Parotidectomy 14
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14. Close with drainage.
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Superficial Parotidectomy Variations (3)
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Dissection under the facial nerve and removal of part of the deep lobe
Sacrifice of the facial nerve branch with nerve graft reconstruction Use of the nerve stimulator |
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Superficial Parotidectomy complications (3)
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Salivary fistula
Injury to the facial nerve Gustatory sweating (Frey's syndrome)" |
