Preauricular infratemporal fossa approach for advanced malignant parotid tumors

Abstract

The preauricular ITF approach should be used in the surgical extirpation of advanced malignant parotid neoplasms. This technique provides proximal facial nerve identification, internal carotid artery protection, and negative tumor margins at the skull base.

Treatment of Parotid Malignancies—10 Years of Experience

“…Treatment includes lateral or total parotidectomy, with a bilateral procedure if needed, 11 supplemented by resection of the affected cartilage and bone of the external auditory canal, skin, masseter, digastric or sternocleidomastoid muscle, and the mandibular branch or area of the base of the cranium. [11][12][13][14] In stage III cases, after radial surgical treatment, adjuvant RT should be introduced; nonetheless, for stage IV, there are no unambiguously determined management strategies. The authors' observations based on 6 cases confirm the role of extensive surgery followed by adjuvant RT.…”

Free gracilis muscle transfer for smile reanimation after treatment for advanced parotid malignancy

“…Concern over the risk of residual or recurrent disease may lead to unnecessary postponement of facial reanimation, subjecting patients to years of deformity with profound functional, aesthetic, and communicative sequelae. [37][38][39][40][41][42] Current treatment of advanced parotid malignancies may result in prolonged disease-free survival or cure, 43 and reconstructive procedures do not impair adequate surveillance of tumor recurrence. 44 In this series, oral commissure excursion with smile after delayed free gracilis muscle transfer improved by a mean of 10.2 mm.…”

The relationship between the carotid canal and mandibular condyle: an anatomical study with application to surgical approaches to the skull base via the infratemporal fossa

“…Preservation of the ICA is demanded and techniques have been developed in order to assist the surgeon in its conservation. [2,[12][13][14][15][16][17][18] The Matas test (percutaneous compression of the carotid artery) and its newer variations have assisted the surgeon in the evaluation of carotid artery sacrifice and the need for bypass. First described in 1911 by Rudolph Matas, if percutaneous compression of the carotid artery produced neurological signs then it was inferred that the patient would not tolerate complete surgical occlusion.…”