The first part of the maxillary artery gives branches to the tympanic membrane, dura, and lower teeth. Several limitations have been noticed for the current systemic review and meta-analysis. Figure The main salivary glands and their ducts: The second part of the maxillary artery supplies the muscles of mastication by deep temporal, pterygoid, masseteric, and buccal arteries. Advanced parotid cancers more than 4 cm are firmly fixed around the main trunk of the facial nerve that can be hardly detected in narrow working space between mastoid process and parotid cancer. This is caused by an autoimmune disease and can be a serious problem. The parasympathetic root is the lesser petrosal nerve.
Surgery performed after a previous approach of the parotid gland has an odds ratio of 6. Iodized oil has been injected through the parotid duct. Otherwise, the data was regarded as homogeneous and a fixed effect model was used. Babak Azizzadeh and Dr. Removing the mastoid process for advanced parotid tumors facilitates identification of the facial nerve and better preservation of the facial nerve function.
CHAPTER THE PAROTID, TEMPORAL AND INFRATEMPORAL REGIONS
Facial nerve grading system. All relevant data are within the paper and its Supporting Information files named S1 Data. The auriculotemporal nerve receives communications from the otic ganglion, conveying secretory fibers from the glossopharyngeal nerve to the parotid gland. What to Expect During a Parotidectomy Surgery Parotidectomy surgery is usually performed under general anesthesia at an outpatient surgery center. Peripheral facial paralysis. Owusu et al[ 58 ] concluded that age, gender, and pathologic diagnosis were not predictive of postoperative nerve dysfunction. The inferior alveolar nerve, with its companion artery, descends deep to the lateral pterygoid muscle and then enters the mandibular foramen and canal.
Related articles Facial nerve palsy House-Brackmann parotidectomy. He tailors a parotidectomy surgery to his patient, and in doing so, helps each patients achieve the best results. The trigeminal ganglion houses the pseudounipolar neurons that are the cells of origin of most of the afferent fibers in the three divisions of the nerve. Therefore, this meta-analysis may have not been adequately powered to detect the true difference between the two interventions. A modified Blair incision was marked starting at a right pre-auricular crease and coursing behind the right ear lobule into a skin crease two fingerbreadths behind the angle of mandible.