Extended total parotidectomy with mastoidectomy followed by proximal resection of the facial nerve

DOI 6 References
  • Shiga Kiyoto
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Ogawa Takenori
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Kato Kengo
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Amano Masanori
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Maki Atsuko
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Suzuki Takahiro
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Sato Hiroki
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Kawase Tetsuaki
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital
  • Kobayashi Toshimitsu
    Department of Otolaryngology-Head and Neck Surgery, Tohoku University Hospital

Bibliographic Information

Other Title
  • 乳突削除―顔面神経高位切断法を用いた拡大耳下腺全摘術の検討

Search this article

Abstract

Total parotidectomy is a treatment option for radical surgery for patients with advanced parotid cancer. We have selected and used extended total parotidectomy with mastoidectomy followed by proximal resection of the facial nerve to obtain a sufficient safety margin for advanced cases. Here, we report the clinical features of 12 cases who have undergone this surgical procedure so far. There were 9 males and 3 females. Their tumors appeared at the right parotid in 6 cases and at the left parotid in 6 cases. The tumor originated from the parotid gland in all but one case, who had skin cancer in the parotid region. There were 3 salivary duct carcinomas, 2 mucoepidermoid carcinomas, 2 myoepithelial carcinomas, 2 carcinosarcomas, 1 acinic cell carcinoma, 1 adenoid cystic carcinoma and 1 squamous cell carcinoma. Five patients showed facial nerve palsy preoperatively. Two patients underwent lateral temporal resection with resection of the condylar process. Four patients underwent free flap reconstruction because of the defect of the skin. Seven patients underwent facial nerve reconstruction by nerve grafting and also 3 patients underwent static reconstruction of the facial nerve. One patient with carcinosarcoma died of disease due to lung and brain metastases, and another patient died due to lung metastasis. They showed no local recurrence and ten patients remain alive now. We think this surgical procedure is an effective radical treatment for advanced parotid cancers.

Journal

References(6)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top