[Reoperation of tumors of the parotid gland, surgical approach and consequences for the 7th cranial nerve. Apropos of 42 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 on the number of surgical procedure, the type of initial procedure and the histological type of the tumor. Second surgical procedures for a wrong initial 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
D000230:Adenocarcinoma / Q000601:surgery*; D000236:Adenoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D003528:Carcinoma, Adenoid Cystic / Q000601:surgery*; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D020220:Facial Nerve Injuries; D005158:Facial Paralysis / Q000517:prevention & control; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D010307:Parotid Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control; D012086:Reoperation
Reprises chirurgicales des tumeurs de la parotide, approche technique et conséquences pour le VII. A propos de 42 cas.