A case series of superficial parotidectomy under local anesthesia

Authors

  • I. D. Singh Department of ENT, Command Hospital, Pune-411040, Maharashtra, India
  • J. R. Galagali
  • Maj Abhipsa Hota

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20150583

Keywords:

Superficial parotidectomy, Pleomorphic adenoma, Warthin’s tumor, Local anesthesia

Abstract

Superficial parotidectomy is the biopsy procedure of choice for all parotid neoplasm’s as well as therapeutic choice for small low-grade malignancies. The key to successful parotid surgery is identification of the facial nerve. It is usually done under general anesthesia (GA).The main focus in this procedure is to remove entire superficial parotid gland along with a disease and at the same time preventing any iatrogenic injury to facial nerve and its peripheral branches which supplies over the face. We present three cases of superficial parotidectomies done under local anesthesia technique. The objectives of these reports are to discuss the clinical presentation, diagnosis and management of these growths surgically under local as an alternative method or when it is desired under some special circumstances and the merits. This technique may avoid the use of facial nerve monitor.

References

Gunn A, Parrott NR. Parotid tumors: a review of parotid tumor surgery in the Northern Regional Health Authority of the United Kingdom 1978-1982. Br J Surg. 1988;75:1144-6.

Kerawla CJ, McAloney N, Stassen LF. Prospective randomized trial of the benefits of a sternocleidomastoid flap after superficial parotidectomy. Br J Oral Maxillofac Surg. 2002;40:468-72.

Reid JL, Rubin PC, Whiting B. Anesthesia and the relief of pain. In: Reid JL, Rubin PC, Whiting B, eds. Lecture Notes in Clinical Pharmacology. 5th ed. Oxford: Blackwell Science; 1996.

Shahid K, Siddiqui BK, Tahir MH, Salman bin Ayub, Memon GM, Yousuf A, et al. Total parotidectomy under local anesthesia: a novel technique. J Coll Physicians Surg Pak. 2007 Feb;17(2):116-7.

Shahid K, Siddiqui BK, Tahir MH, Salman bin Ayub, Memon GM, Yousuf A, et al. Total parotidectomy under local anesthesia: a novel technique. J Coll Physicians Surg Pak. 2007 Feb;17(2):116-7.

Chow TL, Choi CY, Lam SH. Parotidectomy under local anesthesia - report of 7 cases. Am J Otolaryngol. 2013 Jan-Feb;34(1):79-81.

Safioleas M, Stamatakos M, Safioleas P, Diab A, Iannescu R, Safioleas C. Superficial parotidectomy under local anaesthesia. Chirurgia. 2008;103(4):453-4.

Sethna KS, Sengupta MA, Prabhakar S. Local anesthesia for parotidectomy - a new technique. Ambulat Surg. 1996 Nov;4(2):93-4.

Downloads

Published

2015-07-04