Parotidectomy and facial

If a sialocele forms, treatment consists of the placement of an angiocatheter from behind the ear into the pocket of saliva. Mastoid process is also described as one of the landmarks but the process lies deep to the insertion of the sternocleidomastoid muscle and hence it is mainly a palpatory landmark. The latter, if untreated, can cause drying of the eye and even blindness. The incision of the skin about the ear lobe may injure the small superficial branches of the great auricular nerve. In absence of facial nerve monitor, facial nerve is generally located by means of anterograde or retrograde dissection methods. The completion parotidectomy was done with retrograde dissection of the facial nerve following the previously identified lower division back to the main trunk followed by antegrade dissection with follow-up several months later after irradiation click image to open gallery of enlarged images below: The drain may be managed in an outpatient setting.

The "time honored" method has been to await permanent section report before sacrificing facial nerve, then return to operating room to complete resection following permanent histologic section analysis. Once the appropriate incision has been made, Dr. It is provided to help visualize the procedure from beginning to end and to illustrate key points.