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European Archives of Oto-Rhino-Laryngology

Erschienen in:

28.09.2018 | Review Article

Management of the facial nerve in parotid cancer: preservation or resection and reconstruction

verfasst von: Orlando Guntinas-Lichius, Carl E. Silver, Jovanna Thielker, Manuel Bernal-Sprekelsen, Carol R. Bradford, Remco De Bree, Luis P. Kowalski, Kerry D. Olsen, Miquel Quer, Alessandra Rinaldo, Juan R. Rodrigo, Alvaro Sanabria, Ashok R. Shaha, Robert P. Takes, Vincent Vander Poorten, Peter Zbären, Alfio Ferlito

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 11/2018

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Abstract

Purpose

Management of the facial nerve is instrumental in the surgical treatment of parotid cancer.

Methods

A literature search was conducted using PubMed and ScienceDirect database. A total of 195 articles were finally included into the analysis, based on relevance, scientific evidence and actuality.

Results

In the majority of cases the facial nerve is not involved by tumor. In these cases, identification and preservation of the nerve, in addition to complete tumor removal, are essential for successful surgery. When the nerve is infiltrated by tumor, the affected portion of the nerve must be resected as part of radical parotidectomy. Primary nerve reconstruction or other reanimation techniques give the best long-term functional and cosmetic results. A comprehensive diagnostic evaluation with current imaging and electrophysiological studies will provide the surgeon with the best knowledge of the relationship of the facial nerve to the tumor. Several standardized methods are helpful in finding, dissecting and preserving the nerve during parotid cancer surgery. When radical parotidectomy is indicated, the initial diagnostic work-up can assist in defining the need for adjuvant postoperative therapy and facial reanimation. The aim of rehabilitation is to restore tone, symmetry, and movement to the paralyzed face.

Conclusions

The surgical management of facial paralysis has undergone many improvements in recent years. This review gives an overview of recent advances in the diagnostic work-up, surgical techniques and any necessary rehabilitation of the facial nerve in parotid cancer surgery.

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Titel: Management of the facial nerve in parotid cancer: preservation or resection and reconstruction
verfasst von: Orlando Guntinas-Lichius
Carl E. Silver
Jovanna Thielker
Manuel Bernal-Sprekelsen
Carol R. Bradford
Remco De Bree
Luis P. Kowalski
Kerry D. Olsen
Miquel Quer
Alessandra Rinaldo
Juan R. Rodrigo
Alvaro Sanabria
Ashok R. Shaha
Robert P. Takes
Vincent Vander Poorten
Peter Zbären
Alfio Ferlito
Publikationsdatum: 28.09.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology / Ausgabe 11/2018
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-5154-6

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Springer Medizin

Management of the facial nerve in parotid cancer: preservation or resection and reconstruction

Abstract

Purpose

Methods

Results

Conclusions

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Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

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