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Facial nerve preservation in total parotidectomy for parotid tumors: A review of 27 cases

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June 12, 2013
by Soliman El-Shakhs, MD; Yaser Khalil, MD; and Asmaa Gaber Abdou, MD


We conducted a study to evaluate the success of facial nerve preservation in 27 adults with a parotid tumor who underwent total parotidectomy. Of this group, 11 patients had a malignant tumor, 10 had a recurrent benign tumor, and 6 had a primary benign tumor. Preoperatively, 7 patients had facial nerve paresis. Postoperatively, facial nerve preservation was achieved in all but 1 case; in the exception, the nerve was sacrificed and grafting was necessary. In conclusion, facial nerve preservation can be achieved in almost all cases of total parotidectomy.

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