title: Parotidectomy under sedation and locoregional anesthesia with monitoring of brain activity.
abstract: Parotidectomy is usually performed while the patient is under general anesthesia, however, sedation with locoregional anesthesia could be an alternative.
  
  
  
  Fifteen adult patients with parotid tumors of the superficial lobe were included in this study. Anesthetic procedure consisted of sedation associated with cervical plexus and auriculotemporal nerve block. Sedation was managed based on the bispectral index.
  
  
  
  Superficial parotidectomies were performed in 13 patients, and combined partial resections were performed in 2 patients. The mean operative time was 118.2 ± 16.4 minutes. Conversion to general anesthesia was necessary in only 1 patient. Ten surgeries were performed on an outpatient basis. Definitive facial paralysis occurred in 1 patient. All patients reported total satisfaction with the procedure.
  
  
  
  In selected cases, parotidectomy under sedation plus locoregional anesthesia is feasible and safe. The careful selection of patients and the close collaboration with an anesthesiologist is the key to a successful procedure. © 2016 Wiley Periodicals, Inc. Head Neck 39: 744-747, 2017.
authors.affiliation: Department of Head and Neck Surgery, Regional do Oeste Hospital, Chapecó, Santa Catarina, Brazil.
authors.forename: Marco Antonio Scirea
authors.initials: MA
authors.lastname: Tesseroli
authors.affiliation: Department of Anesthesiology, Regional do Oeste Hospital, Chapecó, Santa Catarina, Brazil.
authors.forename: Fabricio Battistela
authors.initials: FB
authors.lastname: Zasso
authors.affiliation: Department of Anesthesiology, Regional do Oeste Hospital, Chapecó, Santa Catarina, Brazil.
authors.forename: Humberto
authors.initials: H
authors.lastname: Hepp
authors.affiliation: Department of Surgery, Taubate University, São, Paulo, Brazil.
authors.forename: Antonio Vitor Martins
authors.initials: AV
authors.lastname: Priante
authors.affiliation: Department of Surgery, Sao Vicente de Paulo Hospital, Passo Fundo, Rio Grande do Sul, Brazil.
authors.forename: André Luiz Loureiro
authors.initials: AL
authors.lastname: de Mattos Filho
authors.affiliation: Department of Surgery, Universidad de Antioquia-Fundación Colombianana de Cancerología-Clínica Vida, Medellin, Colombia.
authors.forename: Alvaro
authors.initials: A
authors.lastname: Sanabria
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D001931:Brain Mapping; D015331:Cohort Studies; D016292:Procedural Sedation / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic / Q000379:methods; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000473:pathology* / Q000601:surgery*; D061214:Patient Safety / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D018579:Patient Selection; D018570:Risk Assessment; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000779:Anesthetics, Local
keywords: cervical plexus block; locoregional anesthesia; parotid; parotidectomy; sedation