Retromandibular Vein, Digastric Muscle, and Greater Auricular Nerve in Superficial Parotidectomies for Patients with Pleomorphic Adenoma —A Surgical Experience
AbstractRetromandibular vein (RMV) and posterior belly of digastric muscle are among the landmarks used to identify facial nerve in parotid surgery. This observational cross-sectional study was done in the Department of ENT&HNS at a tertiary care teaching hospital for a period of 8 years with the aim to aware young otorhinolaryngologist about the relationship of posterior belly of digastric muscle& retromandibular vein with facial nerve and share our experience about preservation of posterior branch of greater auricular nerve. A total of 34 cases of superficial parotidectomies done for pleomorphic adenoma were incl...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 25, 2023 Category: ENT & OMF Source Type: research

Incidence and Possible Predictive Factors of Facial Nerve Paralysis after Superficial Parotidectomy for Benign Tumours: Our Experience
AbstractSalivary gland tumors represent 3 –10% of all head and neck neoplasms. Most of the tumours are benign with parotid gland being most commonly affected. Surgical intervention in the form of parotidectomy forms the mainstay of treatment. Among the various postoperative complications that may occur after parotidectomy, facial nerve we akness is the most dreaded one for both the surgeon as well as the patient. In the literature, the incidence of transient facial weakness after parotid surgery ranges from 10 to 68%, and long-term dysfunction ranges from 0 to 19%. Apart from injury mechanisms such as nerve division, str...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 24, 2023 Category: ENT & OMF Source Type: research

Intra-parotid Course and Variations in the Branching Pattern of Facial Nerve: Our Experience
AbstractFacial nerve is responsible for the facial expressions and its preservation during parotidectomy is an important aspect for the operating surgeon. The nerve has a long course and the terminal part traverses through the parotid gland. The branching pattern of the nerve within the gland is highly complex and variable, making parotidectomy a challenging surgery. A cross-sectional record based study was conducted in a tertiary care hospital of a medical college in north India between November 2020 and December 2021 with an aim to describe the branching pattern of the facial nerve within the parotid gland. Patients of a...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - April 8, 2023 Category: ENT & OMF Source Type: research

Keloid masking a parotid tumor: A rare case presentation
Muhammad Lawal Abubakar, Ibrahim Babatunde Mohammed, Murtala Abubakar, Wasiu Olushola Adebayo, Mohammed Abdullatif Kabir, Oluwatobi Adebayo Abass, Abdulrasheed IbrahimAnnals of African Medicine 2023 22(2):235-238 A 37-year-old Nigerian woman presented with an itchy and occasionally painful scar that appeared after the healing of an acne lesion over the left parotid region, 13 years ago. She noticed a progressive increase; however, there was no history of facial weakness. Examination revealed a keloid lesion overlying a firm nontender mass. Ultrasound scan and fine-needle aspiration cytology indicated a benign tumor of the...
Source: Annals of African Medicine - April 4, 2023 Category: African Health Authors: Muhammad Lawal Abubakar Ibrahim Babatunde Mohammed Murtala Abubakar Wasiu Olushola Adebayo Mohammed Abdullatif Kabir Oluwatobi Adebayo Abass Abdulrasheed Ibrahim Source Type: research

Pseudoaneurysm: Cause of Unusual Postoperative Bleed in Head and Neck
AbstractAlthough, instances of postoperative bleeding in ENT surgery are infrequent, sometimes they can be dreadful for both patient& surgeon. Here we are reporting 2 cases of postoperative bleeding that we encountered recently. (1) Superficial temporal artery aneurysmal bleed- post parotidectomy (2) Left superior thyroid artery aneurysmal bleed- post tracheostomy. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 23, 2023 Category: ENT & OMF Source Type: research

Intrapulmonary Metastasis from Adenoid Cystic Carcinoma of the External Auditory Canal: A Case Report
We report a patient with advanced lung metastases from adenoid cystic carcinoma (ACC) of the EAC, which is difficult to diagnose. Under general anesthesia, lengthened right temporal bone resection, parotidectomy, facial nerve resection, cervical lymph node dissection (I-III), partial mandibular resection, tumor resection in the inferior temporal fossa and lateral femoral flap repair were performed, followed by regular radiotherapy and chemotherapy. During 2 years of postsurgical follow-up, there was no recurrence. The combination of early detection, resection, postoperative radiotherapy, and chemotherapy can result in a go...
Source: Ear, Nose and Throat Journal - March 15, 2023 Category: ENT & OMF Authors: Songbo Xue Liqin Zhang Yang Zhao Xu Tian Jie Yu Xinyu Ren Qing Zhang Zhiqiang Gao Guodong Feng Source Type: research

Intrapulmonary Metastasis from Adenoid Cystic Carcinoma of the External Auditory Canal: A Case Report
We report a patient with advanced lung metastases from adenoid cystic carcinoma (ACC) of the EAC, which is difficult to diagnose. Under general anesthesia, lengthened right temporal bone resection, parotidectomy, facial nerve resection, cervical lymph node dissection (I-III), partial mandibular resection, tumor resection in the inferior temporal fossa and lateral femoral flap repair were performed, followed by regular radiotherapy and chemotherapy. During 2 years of postsurgical follow-up, there was no recurrence. The combination of early detection, resection, postoperative radiotherapy, and chemotherapy can result in a go...
Source: Ear, Nose and Throat Journal - March 15, 2023 Category: ENT & OMF Authors: Songbo Xue Liqin Zhang Yang Zhao Xu Tian Jie Yu Xinyu Ren Qing Zhang Zhiqiang Gao Guodong Feng Source Type: research

Risk factors for sialocele after parotidectomy: Does tumor size really matter?
Sialocele that develops after parotid surgery often prolongs the treatment period and stresses both the surgeon and patient. The extent of surgery and tumor size are known to be associated with sialocele occurrence. We investigated the incidence of post-parotidectomy sialocele and the associated risk factors, with a focus on tumor size. (Source: Auris, Nasus, Larynx)
Source: Auris, Nasus, Larynx - March 14, 2023 Category: ENT & OMF Authors: Bo-Soo Kim, Mi Ra Kim, Yong-Wan Kim, Moo Jin Baek, Tae-Kyung Suh, Sang-Yeon Kim Tags: Original Article Source Type: research

Centripetal Versus Centrifugal Facial Nerve Dissection in Superficial Parotidectomy: Comparison of the Two Methods at a Tertiary Care Center
Conclusion: The operative time and post-operative complications were both comparable betwe en AFND and RFND, implying both techniques can be used by surgeons depending on the individual cases. (Source: Indian Journal of Otolaryngology and Head and Neck Surgery)
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - March 7, 2023 Category: ENT & OMF Source Type: research

Posttherapeutic quality of life after treatment of salivary gland cancer
CONCLUSION: By assessing quality of life using standardized questionnaire instruments, disease and treatment consequences can be objectified. Thus, the need for supportive measures, e.g., for rehabilitation in facial nerve palsy, can be identified more reliably.PMID:36826483 | DOI:10.1007/s00106-023-01286-x (Source: HNO)
Source: HNO - February 24, 2023 Category: ENT & OMF Authors: Valentin Burkhardt Christoph Becker Source Type: research

Adjuvant Radiotherapy in Node-Negative Salivary Malignancies of the Parotid Gland: A Multi-institutional Analysis
CONCLUSION: ART should be strongly recommended for patients with node-negative parotid gland cancer with high-grade histology in terms of disease control and survival. In patients with low-to-intermediate-grade disease, those with high T stage and incomplete resection margin benefit with ART.PMID:36813174 | DOI:10.1016/j.radonc.2023.109554 (Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology)
Source: Radiotherapy and Oncology : journal of the European Society for Therapeutic Radiology and Oncology - February 22, 2023 Category: Radiology Authors: Jung Bin Park Hong-Gyun Wu Jin Ho Kim Joo Ho Lee Soon-Hyun Ahn Eun-Jae Chung Keun-Yong Eom Woo-Jin Jeong Tack-Kyun Kwon Suzy Kim Chan Woo Wee Source Type: research

A Rare Case of Muco-epidermoid Carcinoma Parotid in a 6-Year-Old Girl and Review of Literature
AbstractMucoepidermoid carcinoma (MEC) is the commonest malignant salivary gland tumor affecting the parotid gland in adults and children. In children and adolescents, there is a peak incidence in the second decade. We came across a 6-year-old girl with intermediate-grade MEC parotid gland, which is very unusual below 10 years of age. A global literature search revealed only 3 other similar cases in children below 10 years of age. She presented with a 2-year history of left parotid gradually increasing hard swelling involving the overlying skin and underlying sternocleidomastoid muscle which was confirmed on a contrast-enh...
Source: Indian Journal of Surgical Oncology - February 15, 2023 Category: Cancer & Oncology Source Type: research

Huge Recurrent Mucoepidermoid Carcinoma of Parotid - a Rare Presentation
We reported a case of 85 years old female patient, who presented to the department of Surgical Oncology, Srinivasan Medical College and Hospital, Trichy, with history of right parotid swellin g for past 25 years, who had undergone Superficial parotidectomy 10 years back, followed by recurrence of tumor with huge increase in size, around 20 cm in greatest dimension. Right Completion Radical Parotidectomy with Modified Radical neck dissection type 1 with Cervical Rotation Flap cover was d one and histopathological examination of the surgical specimen confirmed as high grade Mucoepidermoid carcinoma. Following surgery, the p...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - February 14, 2023 Category: ENT & OMF Source Type: research