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Parotidectomy

  • Jameson L. Chassin

Abstract

In designing an operation for the removal of benign tumors of the parotid gland, two important facts must be noted. First, although over 75% of parotid tumors are benign, the vast majority of these benign tumors are mixed tumors (pleomorphic adenomas) . Simple enucleation of a mixed tumor is followed by a high recurrence rate. Often the recurrent mixed tumor will become malignant. Consequently, a wide margin of normal salivary gland must be excised around the benign mixed tumor. Second, although the parotid gland is not anatomically a truly bilobed structure, for purposes of surgical anatomy it may be considered to have a superficial and deep lobe with the branches of the facial nerve passing between these two structures. Consequently, it is feasible to excise the superficial lobe with preservation of the branches of the facial nerve. This dissection will be indicated for most patients who have mixed tumors of the parotid gland. A few mixed tumors will arise in the deep lobe of the gland.

Keywords

Facial Nerve Parotid Gland Pleomorphic Adenoma External Auditory Canal Mixed Tumor 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Beahrs OH. Parotidectomy. Surg Clin North Am 1977; 57:477.PubMedGoogle Scholar
  2. Loré JM. An atlas of head and neck surgery. Philadelphia: Saunders; 1962.Google Scholar
  3. Woods JE. Parotidectomy: points of technique for brief and safe operation. Am J Surg 1983;145:678.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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