Skip to main content Accessibility help
×
Hostname: page-component-5c6d5d7d68-pkt8n Total loading time: 0 Render date: 2024-08-07T09:14:32.942Z Has data issue: false hasContentIssue false

27 - Parotidectomy

Published online by Cambridge University Press:  16 October 2009

Ali Abbassian
Affiliation:
St. George's Hospital, London
Sarah Krishnanandan
Affiliation:
St. George's Hospital, London
Christopher James
Affiliation:
Guy's Hospital, London
Get access

Summary

What is the surface marking of the parotid gland?

The superior margin can be marked on the side of the face by a curved line starting at the tragus of the ear running to the middle of the cheek, just below the zygomatic arch. From here a curved line drawn down to the angle of mandible marks the anterior border. The inferior border is between the angle of the mandible and the mastoid process.

What different types of parotidectomy do you know? When are they performed?

A parotidectomy is performed to excise a tumour of the parotid gland. A superficial parotidectomy is undertaken either as a primary diagnostic procedure or as a curative procedure when only the superficial lobe is involved in small and low-grade tumours. In cases where the deep lobe is also involved and/or the tumour is known to be malignant a conservative total parotidectomy must be performed. This refers to the excision of the entire gland with conservation of the facial nerve. Radical parotidectomy with excision of the nerve is undertaken in cases of adherent or infiltrative disease.

What pre-operative considerations may be undertaken prior to a parotidectomy?

  • Clinical assessment of the facial nerve to identify any pre-operative functional deficit

  • Local examination and imaging to identify involved lymph nodes

  • CT or MRI scanning to assess the deep lobe.

  • […]

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×