Parotidectomy with simultaneously reconstruction after surgical defect

Abstract

Objective: to improve the results of parotidectomy with using the simultaneously reconstruction surgery in the postoperative defects.Background. The radical surgical treatment for salivary gland tumors is parotidectomy with preservation of the facial nerve. However, this treatment leads to postoperative defects and Frey’s syndrome (25 % of cases). Elimination of the above-mentioned disadvantages requires plastic, reconstructive surgery.Materials and methods. In the department of head and neck tumors in the National Cancer Center of Uzbekistan during the period 2015 to 2016 were performed parotidectomy with preservation of the facial nerve and simultaneous retromandibular zone reconstruction with displacing muscle flap in 29 patients. In 25 (86 %) patients diagnosed mixed tumor (pleomorphic adenoma) and 4 (14 %) patients had cancer of parotid gland with the verification of histology.Results. In all of 29 patients were performed parotidectomy with preservation of the facial nerve and the simultaneous reconstruction of retromandibular zone with displacing own bodymuscle flap reduced postoperative complications, which had been revealed before as a defect and hypersensitivity of the retromandibular area.Conclusions. Reconstructive-restorative surgery in patients with tumors in the parotid gland after parotidectomy with saving of the facial nerve is decreased number of cosmetic defect and hypersensitivity. Using the own bodymuscle flap is preferred to patients than allotransplant.

Keywords

• tumors of the parotid gland
• parotidectomy
• reconstructive surgery
• retromandibular zone