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  Contents > Previous page > Article detail print Order
o Issue N# 5 - 2011 o

SALIVARY GLANDS

Giant pleomorphic adenoma of the deep lobe of the parotid gland: Role of MRI and nerve monitoring in facial nerve localization


Authors : Fakhry N, Hervé JF, Michel J, Santini L, Piller P, Giovanni A. (Marseille) <br />

Ref. : Rev Laryngol Otol Rhinol. 2011;132,5:233-235.

Article published in french
Downloadable PDF document french



Summary : Introduction: Describe, from a clinical case, the useful­ness of MRI and nerve monitoring in facial nerve and the interest of the MRI in detecting the position of the facial nerve. Report of the case: A 73 year-old woman has been supported for a huge tumour of the right parotid gland. Clinical exami­na­tion and preoperative imaging were consistent with a pleo­morphic adenoma located in the super­ficial lobe, with a facial nerve repressed deeply. Resection was performed using a facial nerve monitoring. The nerve was stretched and repressed in superficial position by the tumour. Parotid tissue was repres­sed by the tumour and the nerve bran­ches were loca­ted in sub­cutaneous position. Tumour resection was achieved in full, without capsular break and without injury to the facial nerve branches. Discussion/Conclusion: Despite recent techno­logical developments, imaging, particularly MRI, can not accurately locate the facial nerve in all cases. A careful search of facial nerve during surgical procedure is always necessary to avoid accidental injury of the nerve. In difficult cases, nerve monitoring is an impor­tant technical assistance.


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