[Reoperation of tumors of the parotid gland. Technical approach and consequences for the 7th cranial nerve. Apropos of 22 cases].
Second or more surgical procedures on parotid are usually difficult and may induce injury on the facial nerve. The authors report their experience about 42 patients. The choice between a total parotidectomy or a surgical excision of a tumor depends of the number of surgical procedure, the type of initial procedure and the histological type of the tumor. Second surgical procedures for a wrong initial histological diagnosis (11 cases) were always a total parotidectomy with facial nerve preservation. The risk of a partial or total facial palsy is higher after several recurrences (3 of 8 cases). The facial nerve had to be resected in 3 of 9 cases of malignant tumors recurrences. The initial treatment of a tumor of the parotid must be radical so it can prevent for further surgical procedures and then avoid a facial nerve injury.
Trotoux
J
J
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpital Boucicaut, Paris.
Vilde
F
F
Kossowski
M
M
Clavier
A
A
Khayat
M
M
Londero
A
A
Bonfils
P
P
D000328:Adult; D000368:Aged; D020220:Facial Nerve Injuries; D005158:Facial Paralysis / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery*; D012086:Reoperation
Reprises chirurgicales des tumeurs de la parotide approche technique et conséquences pour le VII. A propos de 42 cas.