Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy
Adenoid cystic carcinoma of the parotid gland is a rare and slowly growing, but highly malignant tumor. Surgical resection of a malignant parotid tumor should include resection of the facial nerve when the nerve is involved in the tumor. Facial nerve reconstruction is required after nerve resection....
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2008-07-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699267 |
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| author | Bahadir Osman Livaoglu Murat Ural Ahmet |
| author_facet | Bahadir Osman Livaoglu Murat Ural Ahmet |
| author_sort | Bahadir Osman |
| collection | DOAJ |
| description | Adenoid cystic carcinoma of the parotid gland is a rare and slowly growing, but highly malignant tumor. Surgical resection of a malignant parotid tumor should include resection of the facial nerve when the nerve is involved in the tumor. Facial nerve reconstruction is required after nerve resection. A 14 year-old female presented with complaints of painless enlargement of the right parotid gland and facial asymmetry. Physical examination revealed a firm mass in the region of the parotid gland as well as right facial paralysis. Biopsy obtained from the mass showed an adenoid cystic carcinoma of the parotid gland. A radical parotidectomy with a modified radical neck dissection was carried out. Grafting material for the facial reconstruction was harvested from the great auricular nerve. The proximal main trunk and each distal branch of the facial nerve were coapted with the greater auricular nerve. The patient received radiotherapy after surgery and was seen to achieve grade IV facial function one year after surgery. Thus, the great auricular nerve is appropriate grafting material for coaptation of each distal branch of the facial nerve. |
| format | Article |
| id | doaj-art-2357145af46443f2b195fcda60769021 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2008-07-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-2357145af46443f2b195fcda607690212025-08-20T03:54:57ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2008-07-01410220120510.1055/s-0039-1699267Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomyBahadir Osman0Livaoglu Murat1Ural Ahmet2Departments of Otorhinolaryngology and 1Plastic and Reconstructive Surgery, Karadeniz Technical, University Faculty of Medicine, Trabzon, TURKEYDepartments of Otorhinolaryngology and 1Plastic and Reconstructive Surgery, Karadeniz Technical, University Faculty of Medicine, Trabzon, TURKEYDepartments of Otorhinolaryngology and 1Plastic and Reconstructive Surgery, Karadeniz Technical, University Faculty of Medicine, Trabzon, TURKEYAdenoid cystic carcinoma of the parotid gland is a rare and slowly growing, but highly malignant tumor. Surgical resection of a malignant parotid tumor should include resection of the facial nerve when the nerve is involved in the tumor. Facial nerve reconstruction is required after nerve resection. A 14 year-old female presented with complaints of painless enlargement of the right parotid gland and facial asymmetry. Physical examination revealed a firm mass in the region of the parotid gland as well as right facial paralysis. Biopsy obtained from the mass showed an adenoid cystic carcinoma of the parotid gland. A radical parotidectomy with a modified radical neck dissection was carried out. Grafting material for the facial reconstruction was harvested from the great auricular nerve. The proximal main trunk and each distal branch of the facial nerve were coapted with the greater auricular nerve. The patient received radiotherapy after surgery and was seen to achieve grade IV facial function one year after surgery. Thus, the great auricular nerve is appropriate grafting material for coaptation of each distal branch of the facial nerve.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699267adenoid cystic carcinomafacial nerve reconstructionparotid glandradiotherapy |
| spellingShingle | Bahadir Osman Livaoglu Murat Ural Ahmet Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy Indian Journal of Plastic Surgery adenoid cystic carcinoma facial nerve reconstruction parotid gland radiotherapy |
| title | Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy |
| title_full | Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy |
| title_fullStr | Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy |
| title_full_unstemmed | Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy |
| title_short | Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy |
| title_sort | adenoid cystic carcinoma of the parotid gland anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy |
| topic | adenoid cystic carcinoma facial nerve reconstruction parotid gland radiotherapy |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1699267 |
| work_keys_str_mv | AT bahadirosman adenoidcysticcarcinomaoftheparotidglandanastamosisofthefacialnervewiththegreatauricularnerveafterradicalparotidectomy AT livaoglumurat adenoidcysticcarcinomaoftheparotidglandanastamosisofthefacialnervewiththegreatauricularnerveafterradicalparotidectomy AT uralahmet adenoidcysticcarcinomaoftheparotidglandanastamosisofthefacialnervewiththegreatauricularnerveafterradicalparotidectomy |