Hello dear viewers,
Today we will see how a lesion protruding out of the lower pole of the left parotid was excised.
You will see that identifying the anatomical landmarks helps to do the surgery safely in a minimum amount of time.
A standard modified Blair incision was made. An anterior skin flap was then raised over the parotid capsule. Note that the operator must be careful to stop raising the flap beyond the anterior border of the parotid.
The plane between the posterior border of the parotid & the tragal cartilage is developed. Now you can see the tragal pointer. The facial nerve was found 1 cm inferior & 1 cm medial to it as expected.
The lesion protruding out of the parotid capsule was lying on the posterior belly of digastric. The lesion was dissected away from digastric muscle & the lower pole of the parotid was released from it’s surrounding attachments. The main branches of the facial nerve are exposed & dissection is carried out just anterior to these branches.
Control any local bleeding with bipolar cautery.
Finally you see the temporal, zygomatic, buccal, marginal mandibular & cervical branches of the facial nerve.
We hope this video will help you to identify the facial nerve without a hassle during parotidectomy.
This channel is dedicated to everyone who is interested in the field of Oncological surgery & is conducted by Dr. Anuruddha Thewarapperuma MBBS MS, a Consultant Cancer Surgeon from Sri Lanka.
This includes a series of video classes & lectures on operative surgery with illustrations, valuable tips and advice.
Please feel free to comment, give suggestions & ask questions in the comment section below.
We hope this channel will be thought provoking and inspiring to all the surgeons, medical students, aspiring doctors, nurses and anyone in the surgical community who is interested in Cancer Surgery.
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