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

Autor: Guntinas-Lichius, O, Silver, CE, Thielker, J, Bernal-Sprekelsen, M, Bradford, CR, De Bree, R, Kowalski, LP, Olsen, KD, Quer, M, Rinaldo, A, Rodrigo, JR, Sanabria, A, Shaha, AR, Takes, RP, Poorten, VV, Zbaren, P, Ferlito, A
Rok vydání: 2018
Předmět:
Zdroj: EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY
r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
instname
ISSN: 0937-4477
Popis: PurposeManagement of the facial nerve is instrumental in the surgical treatment of parotid cancer.MethodsA 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.ResultsIn 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.ConclusionsThe 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.
Databáze: OpenAIRE
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