JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (4): 48-50.doi: 10.6040/j.issn.1673-3770.0.2015.028

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Methods for exposure of the facial nerve in parotid gland surgery.

WANG Xiaoxia1,2, YAO Xiaobao1, LI Honghui1, BAI Yanxia1, ZHANG Shaoqiang1, SHEN Zhen1, LI Baiya1   

  1. 1. Department of Otolaryngology, First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi, China;
    2. Department of Otolaryngology, the 451 st Hospital of Chinese PLA, Xi'an 710054, Shaanxi, China
  • Received:2015-01-11 Revised:2015-06-11 Online:2015-08-16 Published:2015-08-16

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Abstract: Objective To explore the parotid gland surgery in a safe and efficient way to expose the facial nerve. Methods A total of 810 benign parotid gland cases were retrospectively analyzed, they were respectively treated by the methods of total trunk, zygomatic branch, mandibular margin and buccal branch to locate the facial nerve. Results A total of 465 cases were treated by the total tunk method, 11 cases of them were not found with this method and then were found with other methods, and 3 cases of them were injuried the facial nerve trunk; 138 cases were exposured the facial nerve successfully with the zygomatic branch method; 74 cases were exposured successfully with the mandibular margin method, 8 cases of them had intra-operative injury; 133 cases were exposured successfully with the buccal branch method, 5 cases of them had intra-operative injury. Conclusion Parotid gland surgery at a fixed anatomic mark is good at searching the facial nerve. In according to the actual circumstances of the patients, surgeons should use comprehensive methods to expose the facial nerve in a safe and quick way.

Key words: Surgical procedures, operative, Parotid neoplasms, Facial nerve

CLC Number: 

  • R748
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