Surgical Anatomy of the Parotid Gland

Bailey, Hamilton

doi:10.1136/bmj.2.4569.245

Cited by 29 publications

(7 citation statements)

References 2 publications

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“…In the 1940s, McFarland et al detected a high rate of tumor recurrences (up to 45%) in patients treated by this surgical modality . Bailey et al assumed that the reason for this was the fact that enucleation left parts of the tumor capsule in place, and thus the tumor could not be removed completely . This perception led him to advocate a more radical procedure in terms of obligate dissection of the main trunk and branches of the facial nerve in all cases .…”

Section: Introductionmentioning

confidence: 99%

Paradigm shift in surgery for benign parotid tumors: 19 years of experience with almost 3000 cases

2019

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Objectives The aim of this study was to explore the changes in philosophy in the surgical therapy of benign parotid tumors over a period of 19 years. Methods The records of all patients treated for benign parotid tumors between 2000 and 2018 were evaluated. Data were analyzed with respect to the number of procedures carried out per year of the study according to each of the different surgical modalities and the incidence of postoperative complications. Statistical analysis was performed using the x2 test. A P value of <.05 was considered statistically significant. Results A total of 2988 patients were included in this study. Our analysis showed that the increasing performance of extracapsular dissection was associated with a progressive reduction in the incidence of temporary facial nerve palsy and Frey's syndrome, while the rate of permanent facial nerve palsy remained consistently low. Conclusion One of the most controversial issues in head and neck surgery is which therapeutic approach is best in patients with benign parotid tumors. Our analysis demonstrated that a change of strategy towards reducing invasiveness was possible, with exceptional functional results. Avoidance of facial nerve dissection is feasible in more than two‐thirds of cases with benign tumors. Level of Evidence 4b Laryngoscope, 130: 1941–1946, 2020

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Section: Introductionmentioning

confidence: 99%

Paradigm shift in surgery for benign parotid tumors: 19 years of experience with almost 3000 cases

2019

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“…It was at this time, however, that McFarland recognized the high recurrence rate of up to 45% following intracapsular enucleation 3. Bailey later attributed this high recurrence rate to incomplete removal of the tumor and therefore advocated superficial parotidectomy (SP) with special attention to the removal of the capsule to cure pleomorphic adenomas 3–5…”

Section: Introductionmentioning

confidence: 99%

Extracapsular dissection for benign parotid tumors: A meta‐analysis

et al. 2012

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“…Various surgical approaches have been proposed by several authors aiming at preservation of the facial nerve and its branches during parotidectomy (Adson and Ott, 1923;Marshall and Miles, 1947;Bailey, 1948;Kidd, 1950;Martinet al, 1951;McCune, 1951). However, less attention has been given to the marginal mandibular branch in surgeries of the neck.…”

Section: Discussionmentioning

confidence: 99%

A method for locating the marginal mandibular branch of the facial nerve in the neck

Souza

Carvalho

et al. 1990

Clinical Anatomy

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In order to avoid injury to the marginal mandibular branch of the facial nerve during surgery in the face and neck, a simple method for locating this branch was devised. The anatomical relations between the marginal mandibular nerve and both the facial artery and vein were analyzed in 19 dissection preparations. The following distances were considered: 1) the angle of the mandible to the intersection point nerve-vein; 2 ) mandibular angle to the facial artery; 3) inferior mandibular margin to the intersection point nerve-vein; 4) facial artery to the intersection point projection nerve-vein; 5) facial artery to the intersection point projection nerve-vein on the inferior mandibular margin; and 6) facial vein to the facial artery. These data are useful for an easier localization of the marginal mandibular nerve in the submandibular region. All reference points employed are easily detected in a living subject.

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Surgical Anatomy of the Parotid Gland

Cited by 29 publications

References 2 publications

Paradigm shift in surgery for benign parotid tumors: 19 years of experience with almost 3000 cases

Paradigm shift in surgery for benign parotid tumors: 19 years of experience with almost 3000 cases

Extracapsular dissection for benign parotid tumors: A meta‐analysis

A method for locating the marginal mandibular branch of the facial nerve in the neck

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