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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Main Authors: Bahadir Osman, Livaoglu Murat, Ural Ahmet
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2008-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2008;volume=41;issue=2;spage=201;epage=205;aulast=Bahadir
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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.
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spelling doaj-art-3cbca84cd122422d99b4e3f2bcd132a12025-08-20T02:16:39ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2008-01-01412201205Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomyBahadir OsmanLivaoglu MuratUral AhmetAdenoid 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.ijps.org/article.asp?issn=0970-0358;year=2008;volume=41;issue=2;spage=201;epage=205;aulast=BahadirAdenoid 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.ijps.org/article.asp?issn=0970-0358;year=2008;volume=41;issue=2;spage=201;epage=205;aulast=Bahadir
work_keys_str_mv AT bahadirosman adenoidcysticcarcinomaoftheparotidglandanastamosisofthefacialnervewiththegreatauricularnerveafterradicalparotidectomy
AT livaoglumurat adenoidcysticcarcinomaoftheparotidglandanastamosisofthefacialnervewiththegreatauricularnerveafterradicalparotidectomy
AT uralahmet adenoidcysticcarcinomaoftheparotidglandanastamosisofthefacialnervewiththegreatauricularnerveafterradicalparotidectomy