Special Surgical Procedures II LESSON 1: Eye, Ear, Nose, and Throat (EENT) Surgery Section IV: THROAT, TONGUE, AND NECK SURGERY
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1-40. PAROTIDECTOMY
a. General. This operation involves the removal of a tumor and gland through a curved incision in the upper neck and behind the lobe of the ear, or through a Y-type incision in both sides of the ear and below the angle of the mandible. The majority of benign tumors of the salivary glands occur in the parotid gland. These benign tumors are of the same types as are those found in soft tissues in other parts of the body. The closeness of the parotid gland to the facial nerve makes it difficult to remove the entire tumor. Parotidectomy is indicated for removal of all benign and some malignant tumors, for inflammatory lesions, for vascular anomalies, and for metastic cancer involving lymph nodes overlying the gland. When malignant tumors are found to involve adjacent structures, the operation may have to be extended to become a more radical procedure.
b. Preparation of the Patient. The patient is placed on the operating table in a dorsal recumbent position with the entire affected side of the face uppermost. The entire side of the face, the mouth, the outer canthus of the eye, and the forehead are prepared and left exposed.
c. Operative Procedure.
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