How To Save The Facial Nerve During Parotid Salivary Gland Tumor Surgery / Neck Lump.

http://www.EntHeadNeck.com. Dr Kevin Soh describes how to minimise injury to the facial nerve during parotid gland surgery using a nerve integrity monitor.

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Howto & Style

Tags:

• Dr
• Kevin
• Soh
• Facial
• Nerve
• Parotid
• Gland
• Surgery
• Integrity
• Monitor
• documentary

[Catzmaw]

I've had a total of five surgeries (recurrent pleomorphic adenomas, benign), including a total parotidectomy in 1983. I'm now scheduled for a sixth surgery, which will be performed as if it's a total parotidectomy, with fat grafts from my abdomen to compensate for the dent. I would like to see something about repair of the dent from Dr. Soh. Does he use fat grafts, alloderm, or other facial reconstruction techniques?

[kevin7484]

Thank God I never had to do so many operations on the same person. Normally I prefer to use a sternomastoid flap which has lots of blood supply to repair the defect. Sometimes we even use a free flap to cover the wound. A free flap needs a microsurgeon to join up the arteries and veins. It is very time consuming but worth the while.

[leeahsilvs]

@arle0127 You should probably see your doctor about that because it could potentially be serious. If it's swollen and red then it could just be a cyst.

[couldiescapetheday]

Simply beautiful

[arle0127]

Hi this may be off topic but i have a lump under my jaw and when i touch it or feel it It moves around. it feels about the size of a grape sliced in half, does this sound cancerous? thank you.

[venusbailey]

Excellent video. I have been having recurrent stones in the parotid gland which produces blockage and swelling. I had a stone removed on the right side in the submax? one which was an office procedure. Now my Doc wants me to get a CT of the parotid, and is talking parotidectomy. Is this normally done for recurrent stones? I'm nervous b/c of the facial nerve. Thanks in advance for any info.

[mightydistinguished]

I'm only 21 years old and as of march of 2010 I was diagnosed with a pleomorphic adenoma of the parotid gland. After years of misdiagnosis I should say... Recently I had consultation with a head and neck surgeon in Ontario, who estimates the tumor was most likely present for over ten years. It's thought to be benign, but no one will know until a full specimen is examined. God is cruel...

[AdemiFamily]

hello, I want to ask something . Hope I will get the needed answer.

Someone in my family, has a paraganglioma tumor " which it is situated on the right part of the neck . He is 52 and he has it since 1992, it has a size of 28x35, and now it is making a problem, in his hand. * it seems it has touched the nerves"

Please, can anyone tell me . What happens if he does the operation ?

[prefix331]

Amazing work doctor :)

[surg409]

Thanks for the video. I am a surgeon in training and this cleared a few doubts. I dont agree that both CT and MRI are warranted, however.

[Davesax1965]

Hi doc - quick question ! I have a recurrently swelling parotid gland - may be heading towards surgery if it comes up again. Obviously, due to the facial nerves passing through the gland, this can be somewhat risky. Is there any indications for surgery if a tumour isn't present ? My doctor is, er, well - he didn't know where the partotid duct is....