title: Cervical branch of the facial nerve approach for retrograde parotidectomy compared with anterograde parotidectomy.
abstract: CONCLUSIONS
  The cervical branch of the facial nerve approach for parotidectomy is an excellent surgical technique that can reduce the incidence of facial nerve paralysis, surgical time, and surgical blood loss.
  
  
  OBJECTIVE
  To develop and evaluate a surgical technique for parotidectomy that can reduce the incidence of facial nerve paralysis.
  
  
  METHODS
  Retrograde parotidectomy following identification of the cervical branch of the facial nerve in 90 subjects was compared with standard anterograde parotidectomy in 100 subjects.
  
  
  RESULTS
  Retrograde parotidectomy with a cervical branch approach was associated with significant decreases in the incidence of facial nerve paralysis, surgical time, and surgical blood loss, compared with anterograde parotidectomy.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, Nihon University School of Medicine , Tokyo.
authors.forename: Tohru
authors.initials: T
authors.lastname: Furusaka
authors.forename: Akane
authors.initials: A
authors.lastname: Tanaka
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsuda
authors.forename: Hisashi
authors.initials: H
authors.lastname: Hasegawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Asakawa
authors.forename: Shuntaro
authors.initials: S
authors.lastname: Shigihara
mesh_terms: D000235:Adenolymphoma / Q000601:surgery*; D008949:Adenoma, Pleomorphic / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005154:Facial Nerve; D020220:Facial Nerve Injuries / Q000209:etiology* / Q000517:prevention & control; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000009:adverse effects / Q000379:methods* / Q000706:statistics & numerical data; D010307:Parotid Neoplasms / Q000601:surgery*; D055815:Young Adult
keywords: New approach for parotidectomy; facial nerve paralysis; nerve stimulator; new surgical technique; surgical time