Management of the Facial Nerve in Parotid Cancer: Preservation or Resection and Reconstruction

Overview

Journal Eur Arch Otorhinolaryngol

Specialty Otorhinolaryngology

Date 2018 Sep 30

PMID 30267218

Citations 26

Authors

Orlando Guntinas-Lichius

Carl E Silver

Jovanna Thielker

Manuel Bernal-Sprekelsen

Carol R Bradford

Remco de Bree

Luis P Kowalski

Kerry D Olsen

Miquel Quer

Alessandra Rinaldo

Juan R Rodrigo

Alvaro Sanabria

Ashok R Shaha

Robert P Takes

Vincent Vander Poorten

Peter Zbaren

Alfio Ferlito

Affiliations

Soon will be listed here.

Abstract

Purpose: Management of the facial nerve is instrumental in the surgical treatment of parotid cancer.

Methods: A literature search was conducted using PubMed and ScienceDirect database. A total of 195 articles were finally included into the analysis, based on relevance, scientific evidence and actuality.

Results: In the majority of cases the facial nerve is not involved by tumor. In these cases, identification and preservation of the nerve, in addition to complete tumor removal, are essential for successful surgery. When the nerve is infiltrated by tumor, the affected portion of the nerve must be resected as part of radical parotidectomy. Primary nerve reconstruction or other reanimation techniques give the best long-term functional and cosmetic results. A comprehensive diagnostic evaluation with current imaging and electrophysiological studies will provide the surgeon with the best knowledge of the relationship of the facial nerve to the tumor. Several standardized methods are helpful in finding, dissecting and preserving the nerve during parotid cancer surgery. When radical parotidectomy is indicated, the initial diagnostic work-up can assist in defining the need for adjuvant postoperative therapy and facial reanimation. The aim of rehabilitation is to restore tone, symmetry, and movement to the paralyzed face.

Conclusions: The surgical management of facial paralysis has undergone many improvements in recent years. This review gives an overview of recent advances in the diagnostic work-up, surgical techniques and any necessary rehabilitation of the facial nerve in parotid cancer surgery.

Citing Articles

Surgery for facial palsy in the hands of otorhinolaryngologists: a population-based study.

Alberts E, Ballmaier J, Boeger D, Buentzel J, Hoffmann K, Podzimek J Eur Arch Otorhinolaryngol. 2024; 282(2):1061-1073.

PMID: 39443389 PMC: 11805891. DOI: 10.1007/s00405-024-09044-7.

Extratemporal Facial Nerve Interconnections and Trunk's Variability: A Systematic Review with Meta-Analysis.

Triantafyllou G, Tsiouris C, Chrysanthou I, Paschopoulos I, Tsakotos G, Kalamatianos T Diagnostics (Basel). 2024; 14(17).

PMID: 39272647 PMC: 11393905. DOI: 10.3390/diagnostics14171862.

Delayed repair of the facial nerve and its negative impacts on nerve and muscle regeneration.

Bueno C, Buchaim D, Barraviera B, Ferreira Jr R, Santos P, Reis C J Venom Anim Toxins Incl Trop Dis. 2024; 30:e20230093.

PMID: 38808073 PMC: 11132725. DOI: 10.1590/1678-9199-JVATITD-2023-0093.

An analysis of health-related quality of life in children and adolescents after parotidectomy based on patient-reported outcomes.

Liu L, Xiong L, Shui C, Xiang Y, Ma L, Zhou Y Eur Arch Otorhinolaryngol. 2024; 281(9):4937-4946.

PMID: 38777854 DOI: 10.1007/s00405-024-08705-x.

An Unusual Case of Metachronous Tumors of Prostate and Parotid Gland: A Diagnostic Dilemma.

Yankov Y, Stoev L, Stanislavova K, Dimanov S Cureus. 2023; 15(11):e48477.

PMID: 38074059 PMC: 10704043. DOI: 10.7759/cureus.48477.

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