title: Resection of accessory parotid gland tumors through a peroral approach with facial nerve monitoring.
abstract: Accessory parotid glands are an anatomic variation. Pathologic alterations, which occur in these tissues, are related to those found in the parotid gland. At this time, first-line therapy consists of total resection. In consideration of the delicate anatomy in this region, a careful approach through a lateral parotidectomy or a facelift incision is recommended. In this report, we give an account of a minimally invasive surgical alternative through a peroral approach with facial nerve monitoring. The histologically secured pleomorphic adenoma was completely removed. During surgery, a branch of the facial nerve was detected and secured with active nerve monitoring. We are confident that the peroral resection, supported by active and passive facial nerve monitoring, is a discussable alternative for well-selected tumors of accessory parotid glands.
authors.affiliation: Department of Otolaryngology, Innsbruck Medical University, Innsbruck, Austria. Joachim.Schmutzhard@i-med.ac.at
authors.forename: Joachim
authors.initials: J
authors.lastname: Schmutzhard
authors.forename: Ilona M
authors.initials: IM
authors.lastname: Schwentner
authors.forename: Jan
authors.initials: J
authors.lastname: Andrle
authors.forename: Andreas R
authors.initials: AR
authors.lastname: Gunkel
authors.forename: Georg M
authors.initials: GM
authors.lastname: Sprinzl
mesh_terms: D008949:Adenoma, Pleomorphic / Q000601:surgery*; D000328:Adult; D005154:Facial Nerve; D005260:Female; D006801:Humans; D016343:Monitoring, Intraoperative; D019647:Oral Surgical Procedures / Q000379:methods*; D010307:Parotid Neoplasms / Q000601:surgery*