Emergency parotidectomy for penetrating zone III neck trauma.
Penetrating trauma to the face and upper zone III of the neck may present unique challenges when the parotid gland and associated neurovascular structures are involved. We report a case of massive hemorrhage from penetrating neck trauma that necessitated emergency parotidectomy for vascular exposure. Facial nerve repair was also necessary, underscoring the importance of this approach not only for successful vascular control but also for preservation of nearby vital structures. The management of penetrating trauma to the parotid region,and relevant anatomy, are discussed.
Morris
Luc G
LG
Division of Acute Care Surgery, New York-Presbyterian Hospital, Columbia College of Physicians and Surgeons, 161 Fort Washington Ave, Herbert Irving Pavilion, HIP 8-808, New York, NY 10032, USA.
Miglietta
Maurizio A
MA
Sikora
Andrew G
AG
Okun
Monica N
MN
Roland
J Thomas
JT
D001158:Arteries / Q000293:injuries / Q000601:surgery; D004638:Emergency Treatment; D020220:Facial Nerve Injuries / Q000601:surgery; D006470:Hemorrhage / Q000209:etiology / Q000601:surgery; D006801:Humans; D022125:Lacerations; D019838:Neck Injuries / Q000145:classification / Q000150:complications / Q000601:surgery*; D010306:Parotid Gland / Q000293:injuries* / Q000601:surgery*; D014951:Wounds, Stab