How To Save The Facial Nerve During Parotid Salivary Gland Cancer Surgery (Parotidectomy)
http://www.EntHeadNeck.com.
http://www.nosesinus.com/
Dr Kevin Soh removes a slow growing low grade cancer in the parotid salivary gland (parotidectomy) taking great care to preserve the facial nerve.
3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510
https://www.google.com.sg/maps..../place/Dr+Kevin+Soh,
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If you prefer to read, rather than watch the video, here’s the transcript.
0:14 – Case Presentation: A 35 year old man has a large tumor below the right ear. It has been enlarging slowly for five years. The skin over the mass has been stretched thin. An incision biopsy had been performed 3 years ago with inconclusive results. Axial and Coronal CT scans showed a 4 cm right parotid tumor.
0:46 – The incision lines are drawn. If we plan the incision properly, the wound will be nearly invisible when healed!
1:02 – After elevating the skin flap, the tumor is clearly seen. The skin flap is sutured out of the way. The anterior border of the sternomastoid muscle is identified. The posterior belly of digastric muscle is identified. The facial nerve is found deep to the digastric muscle. The tumor is separated from the sternomastoid muscle. The superficial lobe of parotid gland is slowly separated from the branches of the facial nerve. I take painstaking care to preserve all branches of the facial nerve.
6:30 – The tumor has been delivered. The facial nerve and its branches are nicely displayed! I insert a drain to prevent post-operative wound hematoma formation. The platysma muscle is repaired before skin closure begins. The skin is meticulously closed with 5O monocryl to ensure a nice scar. Steristrips are used to add further support to the wound.
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