Comprehensive management of parotid disorders:
Gespeichert in:
| Weitere Verfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pennsylvania
Elsevier
[2016]
|
| Schriftenreihe: | Otolaryngologic clinics of North America
volume 49, number 2 (April 2016) |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | xvi Seiten, Seite 273-516 Illustrationen, Porträts |
| ISBN: | 9780323447560 |
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| 245 | 1 | 0 | |a Comprehensive management of parotid disorders |c editors Babak Larian, Babak Azizzadeh |
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Datensatz im Suchindex
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| adam_text | Titel: Comprehensive management of parotid disorders
Autor: Larian, Babak
Jahr: 2016
Comprehensive Management of Parotid Disorders
Contents
Preface: Comprehensive Management of Parotid Disorders xv
Babak Larian and Babak Azizzadeh
Facial Nerve and Parotid Gland Anatomy 273
Amit Kochhar, Babak Larian, and Babak Azizzadeh
This article provides an overview of important anatomic and functional
anatomy associated with the parotid gland and facial nerve for the prac-
ticing otolaryngologist, head and neck surgeon, facial plastic surgeon,
and plastic surgeon. The discussion includes the important anatomic rela-
tionships and physiology related to the parotid gland and salivary produc-
tion. A comprehensive description of the path of facial nerve, its branches,
and important anatomic landmarks also are provided.
Parotid Gland Imaging 285
Ravi S. Prasad
In this article, various imaging modalities are discussed for evaluation of
parotid disease, from congenital to inflammatory to neoplastic etiologies.
Key imaging characteristics are outlined using case examples. Introduc-
tion to biological imaging is highlighted. Additionally, image-guided biopsy
techniques are illustrated for sampling parotid and parapharyngeal space
lesions in a minimally invasive manner.
Evaluation of Parotid Lesions 313
Edward C. Kuan, Jon Mallen-St. Clair, and Maie A. St. John
The differential diagnosis of a parotid lesion is broad, and the otolaryngol-
ogist must consider inflammatory, neoplastic, autoimmune, traumatic,
infectious, or congenital causes. A comprehensive history and physical ex-
amination, in conjunction with judicious use of radiographic imaging (MRI,
computed tomography, ultrasonography, nuclear medicine studies),
laboratory studies, and pathologic analysis (fine-needle aspiration, core
biopsy, incisional biopsy), facilitates making an accurate diagnosis. This
article reviews the key history and physical elements and adjunctive diag-
nostic tools available for working up parotid lesions.
Benign Parotid Tumors 327
Kevin Y. Zhan, Sobia F. Khaja, Allen B. Flack, and Terry A. Day
This article reviews the epidemiology, embryology, risk factors, clinical
presentation, diagnostic work-up, and basic management principles for
the more common benign parotid neoplasms. The various histopathol-
ogies are also discussed and summarized.
Contents
Diagnosis and Management of Malignant Salivary Gland Tumors of the
Parotid Gland
Aaron G. Lewis, Tommy Tong, and Ellie Maghami
Malignant parotid tumors are heterogeneous and diverse. Accurate
diagnosis requires a pathologist familiar with the various histologic sub-
types, immunohistochemistry stains, and common translocations. Clinical
course varies according to tumor subtype, ranging from indolent, slow-
growing adenoid cystic carcinoma to rapidly progressive, often fatal,
salivary ductal carcinoma. Histologic grade is important in prognosis
and therapy. Surgery remains the mainstay of treatment when negative
margins can be achieved. Radiation improves locoregional control of
tumors with high-risk features. Chemotherapy for parotid tumors can
be disappointing. Studies of new targeted therapies have not offered sig-
nificant benefits.
Parotitis and Sialendoscopy of the Parotid Gland
Stephen Hernandez, Carlos Busso, and Rohan R. Walvekar
Video content accompanies this article at http://www.oto.theclinics.com
Nonneoplastic disorders of the salivary glands involve inflammatory
processes. These disorders have been managed conservatively with anti-
biotics, warm compresses, massage, sialogogues, and adequate hydra-
tion. Up to 40% of patients may have an inadequate response or
persistent symptoms. When conservative techniques fail, the next step
is operative intervention. Sialendoscopy offers a minimally invasive option
for the diagnosis and management of chronic inflammatory disorders of
the salivary glands and offers the option of gland and function preserva-
tion. In this article, we review some of the more common nonneoplastic
disorders of the parotid gland, indications for diagnostic and interventional
sialendoscopy, and operative techniques.
Parotidectomy for Benign Parotid Tumors
Babak Larian
Parotidectomy for benign tumors is undergoing constant evolution. The
potential for recurrence and malignant transformation of pleomorphic
adenomas creates complexities that have forced head and neck surgeons
to undertake more comprehensive parotid surgery with facial nerve
dissection. This approach carries inherent morbidities, including facial
nerve injury, Frey s syndrome, and facial asymmetry, that have to be
addressed. Extracapsular dissection is compared with conventional
superficial parotidectomy; surgical histologic findings are discussed as
well as outcome data. More novel approaches are discussed as well.
This article provides a systematic approach to benign parotid tumor
surgery.
Parotidectomy for Parotid Cancer
Jennifer R. Cracchiolo and Ashok R. Shaha
Parotidectomy for parotid cancer includes management of primary sali-
vary cancer, metastatic cancer to lymph nodes, and direct extension
Contents xi
from surrounding structures or cutaneous malignancies. Preoperative
evaluation should provide surgeons with enough information to plan a
sound operation and adequately counsel patients. Facial nerve sacrifice
is sometimes required; but in preoperative functioning nerves, function
should be preserved. Although nerve involvement predicts poor
outcome, survival of around 50% has been reported for primary parotid
malignancy. Metastatic cutaneous squamous cell carcinoma is a high-
grade aggressive histology whereby local control for palliation with
extended parotidectomy can be achieved; however, overall survival re-
mains poor.
Parotid Gland Tumors and the Facial Nerve 425
Michele M. Gandolfi and William Slattery III
Various types of parotid gland tumors are discussed from nonneoplastic
to both benign and malignant neoplasms. The anatomic relationship of
the facial nerve is discussed as it exits the stylomastoid foramen and
courses through the parotid gland. The effect of certain tumors on facial
nerve function is also characterized. Details on which types of parotid
tumors are more likely to affect facial nerve function and different prog-
nostic predictors of return to function are evaluated. In addition, the
prognostic value of tumor size and histologic type of parotid tumor is
included.
Locoregional Parotid Reconstruction 435
Leslie E. Irvine, Babak Larian, and Babak Azizzadeh
Parotidectomy for benign and malignant tumors often results in con-
spicuous contour abnormalities and soft tissue defects. Immediate
reconstruction leads to improved patient satisfaction and local or regional
flaps can be used for reconstruction in most cases. This article provides a
systematic approach to parotid reconstruction.
Microvascular Reconstruction of the Parotidectomy Defect 447
Michael A. Fritz and Bryan Nicholas Rolfes
Parotidectomy is a commonly performed procedure for both benign and
malignant lesions. When a significant portion of the gland is resected
and the lost tissue volume is not replaced, a disfiguring contour defect
can result. This defect can be disfiguring and have a profound impact on
quality of life. Large defects are best replaced with vascularized tissue
to provide stable volume.
Facial Paralysis Reconstruction 459
AN Razfar, Matthew K. Lee, Guy G. Massry, and Babak Azizzadeh
Facial nerve paralysis is a devastating condition arising from several
causes with severe functional and psychological consequences. Given
the complexity of the disease process, management involves a multi-
specialty, team-oriented approach. This article provides a systematic
approach in addressing each specific sequela of this complex problem.
xii Contents
Periocular Reconstruction in Patients with Facial Paralysis 475
Shannon S. Joseph, Andrew W. Joseph, Raymond S. Douglas, and
Guy G. Massry
Facial paralysis can result in serious ocular consequences. All patients
with orbicularis oculi weakness in the setting of facial nerve injury should
undergo a thorough ophthalmologic evaluation. The main goal of manage-
ment in these patients is to protect the ocular surface and preserve visual
function. Patients with expected recovery of facial nerve function may only
require temporary and conservative measures to protect the ocular sur-
face. Patients with prolonged or unlikely recovery of facial nerve function
benefit from surgical rehabilitation of the periorbital complex. Current
reconstructive procedures are most commonly intended to improve
coverage of the eye cannot fully restore blink.
Rare Parotid Gland Diseases 489
Akshay Sanan and David M. Cognetti
The differential diagnosis for rare parotid gland diseases is broad and
encompasses infectious, neoplastic, autoimmune, metabolic, and iatro-
genic etiologies. The body of knowledge of parotid gland diseases has
grown owing to advances in imaging and pathologic analysis and molec-
ular technology. This article reviews rare parotid diseases, discussing the
respective disease s clinical presentation, diagnosis, imaging, pathogen-
esis, treatment, and prognosis.
Auriculotemporal Syndrome (Frey Syndrome) 501
Kevin M. Motz and Young J. Kim
Frey syndrome is a common sequela of parotidectomy, and although it is
not frequently manifested clinically, it can cause significant morbidity for
those affected. Frey syndrome results from synkinetic autonomic reinner-
vation by transected postganglionic parasympathetic nerve fiber within the
parotid gland to the overlying sweat glands of the skin. Many surgical
techniques have been proposed to prevent the development of Frey
syndrome. For those who develop clinical symptoms of Frey syndrome,
objective testing can be performed with a Minor starch-iodine test.
Some of the current methods to prevent and treat symptomatic Frey syn-
drome are reviewed.
Index
511
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| spelling | Comprehensive management of parotid disorders editors Babak Larian, Babak Azizzadeh Philadelphia, Pennsylvania Elsevier [2016] xvi Seiten, Seite 273-516 Illustrationen, Porträts txt rdacontent n rdamedia nc rdacarrier Otolaryngologic clinics of North America volume 49, number 2 (April 2016) Clinics review articles Larian, Babak (DE-588)1102402656 edt Azizzadeh, Babak (DE-588)1033024945 edt Otolaryngologic clinics of North America volume 49, number 2 (April 2016) (DE-604)BV000003387 49,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029009468&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Comprehensive management of parotid disorders |
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| title_full | Comprehensive management of parotid disorders editors Babak Larian, Babak Azizzadeh |
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| title_sort | comprehensive management of parotid disorders |
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