Cervical Branch Retrograde Superficial Parotidectomy for Tail of Parotid Lesions.
| Title: | Cervical Branch Retrograde Superficial Parotidectomy for Tail of Parotid Lesions. |
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| Authors: | Amsterdam CH; The Ohio State University College of Medicine Columbus Ohio USA.; Judd RT; Department of Otolaryngology-Head and Neck Surgery The Ohio State University Columbus Ohio USA.; Godsell J; Department of Otolaryngology-Head and Neck Surgery The Ohio State University Columbus Ohio USA.; McCrary HC; Department of Otolaryngology-Head and Neck Surgery University of Utah Salt Lake City Utah USA.; Farlow JL; Department of Otolaryngology-Head and Neck Surgery Indiana University Indianapolis Indiana USA.; Ozer E; Department of Otolaryngology-Head and Neck Surgery The Ohio State University Columbus Ohio USA. |
| Source: | OTO open [OTO Open] 2025 Apr 07; Vol. 9 (2), pp. e70053. Date of Electronic Publication: 2025 Apr 07 (Print Publication: 2025). |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation Country of Publication: United States NLM ID: 101717942 Publication Model: eCollection Cited Medium: Internet ISSN: 2473-974X (Electronic) Linking ISSN: 2473974X NLM ISO Abbreviation: OTO Open Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: 2023- : [Hoboken, NJ] : Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation; Original Publication: [Thousand Oaks, CA] : Sage Publications, [2017]- |
| Abstract: | Facial nerve dysfunction following superficial parotidectomy is one of the most well-known and dreaded complications of the procedure, leading to significant postoperative impairments in affected patients. In lesions involving the parotid tail, the marginal mandibular branch is at particular risk. In contrast, injury to the cervical branch is usually of minimal consequence. Classically, facial nerve dissection in parotidectomy is performed anterograde from the main trunk. In patients presenting with benign superficial parotid tail lesions, however, we often begin with the identification of the cervical branch and perform retrograde dissection to decrease the risk of injury to both the main trunk and the marginal mandibular branch. This technique also allows for the preservation of the great auricular nerve, a shorter incision, and a smaller elevated facial flap, yielding better cosmetic and functional results without compromising the integrity of the resection. Here we describe this technique used for 5 consecutive patients with excellent outcomes.; (© 2025 The Author(s). OTO Open published by Wiley Periodicals LLC on behalf of American Academy of Otolaryngology–Head and Neck Surgery Foundation.) |
| Competing Interests: | None. |
| References: | Otolaryngol Head Neck Surg. 2004 Oct;131(4):392-6. (PMID: 15467606); J Oral Maxillofac Surg. 2010 Sep;68(9):2092-8. (PMID: 20728030); Acta Otolaryngol. 2014 Nov;134(11):1192-7. (PMID: 25315919); J Craniofac Surg. 2015 Mar;26(2):e193-5. (PMID: 25759935) |
| Contributed Indexing: | Keywords: benign mass; facial nerve; head and neck surgery; parotidectomy; retrograde |
| Entry Date(s): | Date Created: 20250408 Latest Revision: 20250409 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11973724 |
| DOI: | 10.1002/oto2.70053 |
| PMID: | 40196214 |
| Database: | MEDLINE |
Journal Article