[Treatment of giant tumors of the parotid gland].
Since large (<<giant>>) benign mixed tumors of the parotid gland are rare, there is insufficient evidence on the modalities of the facial nerve management. General practice is excision which, however, leads, as a rule, to disfigurement. Eight patients, aged 29-65, with tumors of more than 15 cm in diameter were operated on. Tumors were located externally of the gland (5), parapharyngeally (2), or both (1). The regularities between the facial nerve location and site of tumor were investigated, and it is suggested that, in difficult cases, search should start from the temporal area since it offers most access. When tumor of parapharyngeal localization is excised, it is desirable to perform double osteotomy in the mental part of the mandible as well as at the point of entry of the lower of the alveolar nerve, to avoid the latter's being traumatized. To avoid L. Frey syndrome and restore the facial contour, Alloplant volumetric allotransplant was used.
Vyrupaev
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D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000473:pathology*; D012468:Salivary Gland Neoplasms / Q000601:surgery*; D016896:Treatment Outcome