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Cervical Branch Retrograde Superficial Parotidectomy for Tail of Parotid Lesions

Title: Cervical Branch Retrograde Superficial Parotidectomy for Tail of Parotid Lesions
Authors: Amsterdam, Chloe H.; Judd, Ryan T.; Godsell, Jeremy; McCrary, Hilary C.; Farlow, Janice L.; Ozer, Enver
Contributors: Otolaryngology -- Head and Neck Surgery, School of Medicine
Source: PMC
Publisher Information: Wiley
Publication Year: 2025
Collection: Indiana University - Purdue University Indianapolis: IUPUI Scholar Works
Subject Terms: Benign mass; Facial nerve; Head and neck surgery; Parotidectomy; Retrograde
Description: 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.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: English
Relation: OTO Open; Amsterdam CH, Judd RT, Godsell J, McCrary HC, Farlow JL, Ozer E. Cervical Branch Retrograde Superficial Parotidectomy for Tail of Parotid Lesions. OTO Open. 2025;9(2):e70053. Published 2025 Apr 7. doi:10.1002/oto2.70053; https://hdl.handle.net/1805/48096
Availability: https://hdl.handle.net/1805/48096
Rights: Attribution 4.0 International ; https://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.82217EDA
Database: BASE