Vital Role of an Anaesthesiologist in Rendering Safe Anaesthesia in a Case of Parotid Tumor Resection with Obesity: A Case Report

Abstract

Parotid pleomorphic adenomas are benign salivary gland tumors, which predominantly affect the superficial lobe of the parotid gland. The “pleomorphic” nature of the tumor can be explained on the basis of its epithelial and connective tissue origin. Slowly progressing asymptomatic swelling is the usual presentation of the tumor. Surgical excision of the tumor mass forms the mainstay of treatment, with utmost care taken to preserve the facial nerve. We describe here, a case of an obese male patient who was posted for parotid tumor resection under general anesthesia supplemented with superficial cervical plexus block whilst monitoring both muscle relaxation and nerve integrity.

Keywords

• Parotid gland
• Peripheral Nerve Stimulator (PNS)
• Superficial cervical plexus block
• train of four