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Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure
Endoscopic parotidectomy has the potential to become a reliable procedure for benign and low-grade malignant parotid gland tumors. Based on the previous literature review and our own clinical experience, we introduced in detail the surgical procedure of single incision-plus approach for gasless endo...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9560871/ https://www.ncbi.nlm.nih.gov/pubmed/36249887 http://dx.doi.org/10.21037/tcr-22-226 |
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author | Chen, Su Alkebsi, Khaled Xuan, Ming Wang, Xiao-Yi Li, Long-Jiang Li, Chun-Jie Zhang, Zhuang Zhu, Gui-Quan |
author_facet | Chen, Su Alkebsi, Khaled Xuan, Ming Wang, Xiao-Yi Li, Long-Jiang Li, Chun-Jie Zhang, Zhuang Zhu, Gui-Quan |
author_sort | Chen, Su |
collection | PubMed |
description | Endoscopic parotidectomy has the potential to become a reliable procedure for benign and low-grade malignant parotid gland tumors. Based on the previous literature review and our own clinical experience, we introduced in detail the surgical procedure of single incision-plus approach for gasless endoscopic parotidectomy. This method contributes a logical approach to achieving endoscopic resection of parotid gland tumor and preservation of facial nerve, which can be summarized into the following seven-step method: preoperative preparation; design of retroauricular-hairline incision and plus-incision; surgical cavities creation and coalescence; separation of surgical boundaries; separation and protection of the facial nerve trunk; processing of the branches of facial nerve; en bloc resection of the superficial parotid gland and tumor. Endoscopic parotidectomy is a more difficult procedure than conventional parotid surgery, requiring more precision as well as more experience and equipment. The learning curve of time and frequency is influenced by many factors, like anatomy, instruments, procedures and patience. We contribute our clinical exploration of anatomical precautions, feasible instruments, and surgical procedures and summarize precautions under single incision-plus in gasless endoscopic parotidectomy. Given the growing interest in the aesthetic process of the parotid region, the seven-step method may have the potential to be a method for teaching gasless endoscopic parotidectomy. |
format | Online Article Text |
id | pubmed-9560871 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-95608712022-10-15 Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure Chen, Su Alkebsi, Khaled Xuan, Ming Wang, Xiao-Yi Li, Long-Jiang Li, Chun-Jie Zhang, Zhuang Zhu, Gui-Quan Transl Cancer Res Surgical Technique Endoscopic parotidectomy has the potential to become a reliable procedure for benign and low-grade malignant parotid gland tumors. Based on the previous literature review and our own clinical experience, we introduced in detail the surgical procedure of single incision-plus approach for gasless endoscopic parotidectomy. This method contributes a logical approach to achieving endoscopic resection of parotid gland tumor and preservation of facial nerve, which can be summarized into the following seven-step method: preoperative preparation; design of retroauricular-hairline incision and plus-incision; surgical cavities creation and coalescence; separation of surgical boundaries; separation and protection of the facial nerve trunk; processing of the branches of facial nerve; en bloc resection of the superficial parotid gland and tumor. Endoscopic parotidectomy is a more difficult procedure than conventional parotid surgery, requiring more precision as well as more experience and equipment. The learning curve of time and frequency is influenced by many factors, like anatomy, instruments, procedures and patience. We contribute our clinical exploration of anatomical precautions, feasible instruments, and surgical procedures and summarize precautions under single incision-plus in gasless endoscopic parotidectomy. Given the growing interest in the aesthetic process of the parotid region, the seven-step method may have the potential to be a method for teaching gasless endoscopic parotidectomy. AME Publishing Company 2022-07 /pmc/articles/PMC9560871/ /pubmed/36249887 http://dx.doi.org/10.21037/tcr-22-226 Text en 2022 Translational Cancer Research. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) . |
spellingShingle | Surgical Technique Chen, Su Alkebsi, Khaled Xuan, Ming Wang, Xiao-Yi Li, Long-Jiang Li, Chun-Jie Zhang, Zhuang Zhu, Gui-Quan Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure |
title | Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure |
title_full | Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure |
title_fullStr | Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure |
title_full_unstemmed | Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure |
title_short | Single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure |
title_sort | single incision-plus approach for gasless endoscopic parotidectomy: a seven-step procedure |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9560871/ https://www.ncbi.nlm.nih.gov/pubmed/36249887 http://dx.doi.org/10.21037/tcr-22-226 |
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